Organization
BRAIN INJURY RECOVERY FOUNDATION
Active
Other names
DEFY Neuro Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HANN (EXECUTIVE DIRECTOR)
(918) 829-6336
Entity
Organization
Contact information
Practice address
5950 E 31ST ST STE 200, TULSA, OK 74135-5114
(918) 829-6336
Mailing address
1611 S UTICA AVE STE 146, TULSA, OK 74104-4909
(918) 829-6336
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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