| NPI | 1669703690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L RYLEE Billing Specialist 918-341-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 1823) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OK 68) |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 2016) | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2022-04-26 |