| NPI | 1699668434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANNER ELISE WINTERTON Doctor Of Physical Therapy 405-808-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |