| NPI | 1932101946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE BRAND HARTSELL Vice President 580-323-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OK PT2120) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2016-02-25 |