| NPI | 1639617996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ADCOX Managing Member 405-473-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OK 4024) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |