| NPI | 1700950367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN CRYER Administrator 405-840-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 376602) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OK 376602) |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 376602) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-10-28 |