ELLIOT KIMBALL

MIDWEST CITY, OK
NPI1912315409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
(Licence: OK  H082956414)
Enumeration Date2014-07-28
Last Update Date2014-07-28
Business Address
-- ELLIOT KIMBALL
316 S MIDWEST BLVD
MIDWEST CITY, OK 73110-4642
Phone number: 405-733-5437
Mailing Address
-- ELLIOT KIMBALL
4905 WELLMAN WAY
NORMAN, OK 73072-3705
Phone number: