| NPI | 1912448754 |
|---|---|
| Other Name | REVIVE THERAPY |
| Entity Type | Organization |
| Authorized Contact | ERNEST BYRON FOSTER Manager 405-703-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |