Organization
R & S OPTIMAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN MICHAEL SMITH P.T. (OWNER/OPERATOR)
(405) 735-8777
Entity
Organization
Contact information
Practice address
1700 S BROADWAY ST, STE B, MOORE, OK 73160-5300
(405) 735-8777
(405) 735-8778
Mailing address
1700 S BROADWAY ST, STE B, MOORE, OK 73160-5300
(405) 735-8777
(405) 735-8778
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
OKPT3210
OK
Other
Enumeration date
02/08/2011
Last updated
06/17/2011
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