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Organization
BRAIN INJURY RECOVERY FOUNDATION
Active
Organization
BRAIN INJURY RECOVERY FOUNDATION
Active
Other names
DEFY Neuro Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HANN (EXECUTIVE DIRECTOR)
(918) 829-6336
Entity
Organization
Contact information
Practice address
5950 E 31ST ST STE 200, TULSA, OK 74135-5114
(918) 829-6336
Mailing address
1611 S UTICA AVE STE 146, TULSA, OK 74104-4909
(918) 829-6336
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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