Organization
PREFERRED PHYSICAL THERAPY BROKEN ARROW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C TODD PHYSICAL THERAPIST (PT/OWNER)
(316) 260-6869
Entity
Organization
Contact information
Practice address
2033 W HOUSTON ST, STE. A, BROKEN ARROW, OK 74012-8304
(918) 259-0374
(918) 259-0376
Mailing address
200 W DOUGLAS AVE, STE. 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3524
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200208130A
—
OK
Enumeration date
08/01/2008
Last updated
07/22/2009
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