NPI | 1558858068 |
---|---|
Entity Type | Organization |
Authorized Contact | TAWANA HILL Credentialing Specialist 405-896-7901 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: OK 27258) |
Enumeration Date | 2018-04-19 |
Last Update Date | 2018-04-19 |