| NPI | 1942624135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEA KRAUSE Rehabilitation Coordinator 580-272-4978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: OK 2813) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2016-10-26 |