Organization
ELGIN PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE LYNN KOEHLER PT (OWNER)
(580) 678-0447
Entity
Organization
Contact information
Practice address
7602 US HIGHWAY 277, ELGIN, OK 73538
(580) 678-0447
Mailing address
7602 US HIGHWAY 277, ELGIN, OK 73538
(580) 678-0447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2454
OK
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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