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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