| NPI | 1578288064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOHNSON Owner/Operator/Physical Therapist 918-939-9027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2023-02-16 |