| NPI | 1932124179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CLARK STEVENS Physical Therapist 405-610-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 1583) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-07-26 |