Organization
BODY WORKS PHYSICAL THERAPY & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDA JACKSON P.T. (P.T./OWNER)
(580) 661-2639
Entity
Organization
Contact information
Practice address
100S 2ND STREET, THOMAS, OK 73669-8201
(580) 661-2639
(580) 661-2640
Mailing address
100S 2ND STREET, THOMAS, OK 73669-8201
(580) 661-2639
(580) 661-2640
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3728
OK
Other
Enumeration date
01/15/2014
Last updated
04/24/2014
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