| NPI | 1679870497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN LEE MCSOUD Owner/Physical Therapist 918-361-9406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK PT3567) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2012-02-14 |