NPI | 1780620351 |
---|---|
Entity Type | Organization |
Authorized Contact | ARCHANA P. BARVE COO 405-949-6481 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine |
2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: OK 20734) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2014-09-24 |