| NPI | 1972831550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON MARTINEZ Managing Director 918-369-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 1939) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |