| NPI | 1922089168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT ALLEN KEITHLY Physcial Therapist 580-237-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 3690) |
| Enumeration Date | 2005-11-06 |
| Last Update Date | 2008-09-22 |