Organization
DOMINION THERAPY & EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH JAMES FUKSA PHYSICAL THERAPIST (CEO/OWNER)
(580) 234-1115
Entity
Organization
Contact information
Practice address
723 W RANDOLPH AVE, SUITE 1, ENID, OK 73701-3826
(580) 234-1115
(580) 234-1150
Mailing address
723 W RANDOLPH AVE, SUITE 1, ENID, OK 73701-3826
(580) 234-1115
(580) 234-1150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3116
OK
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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