Organization
OKLAHOMA REHAB & RESP
Active
Other names
Oklahoma Rehab Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JARICA WILCOX (MANAGER)
(405) 232-0533
Entity
Organization
Contact information
Practice address
428 NW 10TH ST, OKLAHOMA CITY, OK 73103-3910
(405) 232-0533
(405) 232-0125
Mailing address
428 NW 10TH ST, OKLAHOMA CITY, OK 73103-3910
(405) 232-0533
(405) 232-0125
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100809900A
—
OK
05
—
100809900B
—
OK
05
—
100809900C
—
OK
Enumeration date
11/29/2005
Last updated
04/24/2008
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