| NPI | 1619862265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDYE NICHOLE DIXON Doctor Of Physical Therapy/Owner 918-729-5396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |