Organization
THERAPY CARE OUTPATIENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA BUENROSTRO TURNER OCCUPATIONAL THERAPI (OWNER OCCUPATIONAL THERAPIST)
(405) 379-8085
Entity
Organization
Contact information
Practice address
317 E 8TH STREET, HOLDENVILLE, OK 74848
(405) 379-8085
(405) 379-8084
Mailing address
PO BOX 506, HOLDENVILLE, OK 74848
(405) 379-8085
(405) 379-8084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
63
OK
225X00000X
Occupational Therapist
184
OK
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748280A
—
OK
05
—
100748280B
—
OK
Enumeration date
02/01/2007
Last updated
08/20/2008
Update your record
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