Organization
REGENERATION PHYSICAL THERAPY OF WEATHERFORD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF SCOTT MOSES PT (PHYSICAL THERAPIST)
(580) 772-2662
Entity
Organization
Contact information
Practice address
125 N BRADLEY ST, WEATHERFORD, OK 73096-5229
(580) 772-2662
(580) 772-2241
Mailing address
PO BOX 512, WEATHERFORD, OK 73096-0512
(580) 772-2662
(580) 772-2241
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2818
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316994189
NPI TYPE 1
OK
Enumeration date
06/22/2007
Last updated
08/22/2020
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