Organization
RENEW PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BURKE DPT (OWNER)
(405) 318-7390
Entity
Organization
Contact information
Practice address
1415 CASADY LN, THE VILLAGE, OK 73120-1609
(405) 318-7390
Mailing address
1415 CASADY LN, THE VILLAGE, OK 73120-1609
(405) 318-7390
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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