| NPI | 1770455651 |
|---|---|
| Former Legal Business Name | KINGDOM REHAB |
| Entity Type | Organization |
| Authorized Contact | TYLER AUSTIN ROBERTS Owner 918-938-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |