Organization
HARVARD REHABILITATION GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR R ACOSTA (OFFICER)
(918) 747-0066
Entity
Organization
Contact information
Practice address
3316 E 21ST ST, SUITE C, TULSA, OK 74114-1967
(918) 747-0066
Mailing address
PO BOX 14185, TULSA, OK 74159-1185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3669
OK
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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