| NPI | 1548538655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S CRANSTON Owner 405-850-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OK PT 1084) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2012-06-18 |