Organization
OKLAHOMA REHAB SERVICES, INC.
Active
Other names
Oklahoma Rehab Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY N DANIEL DO (PRESIDENT)
(918) 488-9992
Entity
Organization
Contact information
Practice address
4833 S SHERIDAN RD, SUITE 414, TULSA, OK 74145-5750
(918) 488-9992
(918) 488-9993
Mailing address
4833 S SHERIDAN RD, SUITE 414, TULSA, OK 74145-5750
(918) 488-9992
(918) 488-9993
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OK1843
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000374507001
BCBS
OK
05
—
100748900C
—
OK
01
—
611954700
US DEPT OF LABOR
OK
01
—
700522047
MEDICARE PART B
OK
01
—
731596739
TRICARE
OK
Enumeration date
11/07/2006
Last updated
01/19/2011
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