Organization
SOUTHWEST REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMAL E MOORAD MD (MEDICAL DIRECTOR)
(405) 636-7452
Entity
Organization
Contact information
Practice address
4221 S WESTERN AVE, SUITE 3010, OKLAHOMA CITY, OK 73109-3447
(405) 636-7452
(405) 631-2296
Mailing address
4221 S WESTERN AVE, SUITE 3010, OKLAHOMA CITY, OK 73109-3447
(405) 636-7452
(405) 631-2296
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
10853
OK
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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