Organization
REHABSOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DIMOND (TRUSTEE)
(405) 943-1144
Entity
Organization
Contact information
Practice address
4350 WILL ROGERS PKWY, SUITE 600, OKLAHOMA CITY, OK 73108-1826
(405) 943-1144
(405) 943-0127
Mailing address
4350 WILL ROGERS PKWY, SUITE 600, OKLAHOMA CITY, OK 73108-1826
(405) 943-1144
(405) 943-0127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
08/14/2006
Last updated
09/11/2025
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