Organization
CUTTING EDGE PHYSICAL THERAPY PLLC
Active
Parent organization
CUTTING EDGE PHYSICAL THERAPY, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CUTTING EDGE PHYSICAL THERAPY, PLLC
Authorized official
SHAWN WALLACE (OWNER)
(405) 265-1628
Entity
Organization
Contact information
Practice address
1805 COMMONS CIR STE 100-B, YUKON, OK 73099-9519
(405) 265-1628
(405) 265-1929
Mailing address
526 SW 4TH ST STE 200, MOORE, OK 73160-5409
(405) 759-2700
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
09/21/2020
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