| NPI | 1659389732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JEANNE LEDET Owner 405-733-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OK 2483) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |