| NPI | 1730251620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM MINNICK President 918-259-9522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-02-14 |