# REVIVE THERAPY PLUS WELLNESS

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

## Provider details

- **NPI number:** 1982289260
- **Authorized official:** SARAH HENDRIX (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (405) 493-9955

## Contact information

- **Practice address:** 629 SW 89TH ST., OKLAHOMA CITY, OK 73139-9337
- **Practice address phone:** (405) 493-9955
- **Practice address fax:** (405) 682-2488
- **Mailing address:** 629 SW 89TH ST., OKLAHOMA CITY, OK 73139-9337
- **Mailing address phone:** (405) 493-9955
- **Mailing address fax:** (405) 682-2488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 03/17/2021
- **Last updated:** 11/02/2021