| NPI | 1861618118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAMAL H. LUCIUS Owner, Director Of Operations 918-851-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 1939) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |