Organization
EXCEL THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE WAGONER (MANAGED CARE)
(918) 259-9522
Entity
Organization
Contact information
Practice address
5110 S YALE, SUITE 304, TULSA, OK 74135
(918) 259-9522
(918) 259-9521
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
—
—
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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