# SOZO PHYSICAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOZO PHYSICAL MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982139937
- **Authorized official:** WHITNEY AUTUMN WILLIAMS (OWNER)
- **Authorized official phone:** (405) 448-8385

## Contact information

- **Practice address:** 2000 N CLASSEN BLVD, SUITE S. 100, OKLAHOMA CITY, OK 73106-6016
- **Practice address phone:** (405) 601-7033
- **Practice address fax:** (405) 602-1939
- **Mailing address:** 2000 N CLASSEN BLVD, SUITE S. 100, OKLAHOMA CITY, OK 73106-6016
- **Mailing address phone:** (405) 601-7033
- **Mailing address fax:** (405) 602-1939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4123 | OK | — |
| 363L00000X | Nurse Practitioner | R0074731 | OK | Yes |

## Other

- **Enumeration date:** 04/27/2017
- **Last updated:** 04/27/2017