# VALIR OUTPATIENT CLINIC \#16 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417496324
- **Authorized official:** SAVANAH PATT (VP)
- **Authorized official phone:** (405) 609-3600

## Contact information

- **Practice address:** 4645 W GORE BLVD STE E, LAWTON, OK 73505-5962
- **Practice address phone:** (580) 355-6785
- **Mailing address:** 700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 03/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200051680R | — | OK |