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Organization
VALIR OUTPATIENT CLINIC #16 LLC
Active
Organization
VALIR OUTPATIENT CLINIC #16 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANAH PATT (VP)
(405) 609-3600
Entity
Organization
Contact information
Practice address
4645 W GORE BLVD STE E, LAWTON, OK 73505-5962
(580) 355-6785
Mailing address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051680R
—
OK
Enumeration date
02/13/2017
Last updated
03/22/2020
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