Organization
BODY SMART PHYSIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLISON MATOS DPT (OWNER)
(918) 720-1757
Entity
Organization
Contact information
Practice address
1745A NW 16TH ST STE A, OKLAHOMA CITY, OK 73106-2067
(918) 720-1757
Mailing address
5504 NW 116TH ST, OKLAHOMA CITY, OK 73162-2066
(918) 720-1757
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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