| NPI | 1679931802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S HALSELL Owner 918-728-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 3729) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |