| 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 |