# PROFESSIONAL REHAB & ORTHO PT

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

## Provider details

- **NPI number:** 1639351109
- **Authorized official:** DR. LARRY MICHAEL SIEGENTHALER PT, DPT (PRESIDENT)
- **Authorized official phone:** (918) 809-8666

## Contact information

- **Practice address:** 9120 FERGUSON RD, BEGGS, OK 74421-2384
- **Practice address phone:** (918) 267-3180
- **Mailing address:** 9120 FERGUSON RD, BEGGS, OK 74421-2384
- **Mailing address phone:** (918) 267-3180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2167 | OK | — |
| 225X00000X | Occupational Therapist | 735 | OK | Yes |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 11/27/2007