Organization
IMC OF OKLAHOMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA NICOLE ATKINSON (INSURANCE & BILLING COORDINATOR)
(850) 656-1837
Entity
Organization
Contact information
Practice address
1105 MICHELIN RD, ARDMORE, OK 73401-1085
(580) 224-4446
Mailing address
2615 CENTENNIAL BLVD, SUITE 101, TALLAHASSEE, FL 32308-0586
(850) 656-1837
(850) 877-2917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4626
OK
Other
Enumeration date
08/30/2012
Last updated
04/25/2013
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