| NPI | 1649426859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B PANGBURN Ownder 580-762-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OK 174) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |