| NPI | 1740548551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA M MISNER Owner 918-894-9162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 4643) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2013-12-31 |