Organization
GREEN COUNTRY REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BARRY P.T. (OWNER/PT)
(918) 510-0880
Entity
Organization
Contact information
Practice address
1414 S DENVER AVE, TULSA, OK 74119-3423
(918) 712-7805
(918) 712-7813
Mailing address
1414 S DENVER AVE, TULSA, OK 74119-3423
(918) 712-7805
(918) 712-7813
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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