| NPI | 1962718163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON ROBERSON Executive Director 405-607-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OK OT1522) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |