# RMO - TULSA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rehabilitation Medicine of Oklahoma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881099414
- **Authorized official:** DR. MARK STEPHEN WILSON M.D. (CEO, MEDICAL DIRECTOR)
- **Authorized official phone:** (918) 488-8285

## Contact information

- **Practice address:** 5522 S LEWIS AVE, TULSA, OK 74105-7105
- **Practice address phone:** (918) 488-8285
- **Mailing address:** 635 W 79TH ST, TULSA, OK 74132-2645
- **Mailing address phone:** (918) 488-8285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |

## Other

- **Enumeration date:** 10/24/2014
- **Last updated:** 10/24/2014