Organization
OKLAHOMA STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGIA MERI CHAPPELL (ATHLETICS INSURANCE COORDINATOR)
(405) 744-5430
Entity
Organization
Contact information
Practice address
170 ATHLETICS CENTER, STILLWATER, OK 74078-0001
(405) 744-5430
(405) 744-4945
Mailing address
170 ATHLETICS CENTER, STILLWATER, OK 74078-0001
(405) 744-5430
(405) 744-4945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3509
OK
2255A2300X
Athletic Trainer
465
OK
305R00000X
Preferred Provider Organization
Primary
17462
OK
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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