| NPI | 1760694715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN ROBERTS Physical Therapist 405-609-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 3110) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |