| NPI | 1972618122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL HALL Owner President 580-223-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 1491) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |