| NPI | 1588984553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY JOY JONES Rehab Specialist 405-605-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: OK 082760801) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2012-04-28 |