Organization
COMPREHENSIVE COMMUNITY REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY G SHAW PHD (CHIEF OPERATING OFFICER)
(918) 488-6165
Entity
Organization
Contact information
Practice address
7146 S BRADEN AVE STE 500, TULSA, OK 74136-6376
(918) 488-6165
(918) 488-8021
Mailing address
7146 S BRADEN AVE STE 500, TULSA, OK 74136-6376
(918) 488-6165
(918) 488-8021
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225C00000X
Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
320700000X
Physical Disabilities Residential Treatment Facility
RC7247-7247
OK
Other
Enumeration date
08/15/2006
Last updated
09/11/2025
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