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Organization

EXCEL THERAPY SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIM T MINNICK MPT (PREDIDENT)
(918) 259-9522
Entity
Organization

Contact information

Practice address
2424 E 21ST ST, STE 400, TULSA, OK 74114-1741
(918) 743-9235
(918) 743-9234
Mailing address
2232 W HOUSTON ST, BROKEN ARROW, OK 74012-3529
(918) 259-9522
(918) 259-9521

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OK

Other

Enumeration date
12/05/2006
Last updated
08/31/2010
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