Organization
PHYSICAL REHABILITATION CENTER OF MUSKOGEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH RAYMOND TRINIDAD D.O. (OWNER)
(918) 742-4881
Entity
Organization
Contact information
Practice address
433 W BROADWAY ST, MUSKOGEE, OK 74401-6614
(918) 686-8844
(918) 686-8898
Mailing address
433 W BROADWAY ST, MUSKOGEE, OK 74401-6614
(918) 686-8844
(918) 686-8898
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
OK
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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