Organization
DR BRIANNA TEEL REHAB SERVICES LLC
Active
Organization
DR BRIANNA TEEL REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA TEEL MD (OWNER)
(972) 492-7545
Entity
Organization
Contact information
Practice address
1200 W ALBANY ST, BROKEN ARROW, OK 74012-8146
(918) 957-3000
Mailing address
6639 S 224TH EAST AVE, BROKEN ARROW, OK 74014-6644
(979) 492-7545
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200522420A
—
OK
Enumeration date
06/01/2019
Last updated
06/01/2019
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