Organization
SOUTHWESTERN SPORTS & INDUSTRIAL REHAB CLINC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY DRAKE ALEXANDER (DIRECTOR)
(580) 772-3200
Entity
Organization
Contact information
Practice address
1400 LERA, WEATHERFORD, OK 73096-2629
(580) 772-3200
(580) 772-1061
Mailing address
PO BOX 665, 1400 LERA DR., WEATHERFORD, OK 73096-0665
(580) 772-3200
(580) 772-1061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
703
OK
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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