| NPI | 1669809877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLICIA L HAWKINS Owner/Manager 405-455-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4120) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2015-03-11 |