Organization
WONDERFULLY MADE THERAPY GROUP, LLC
Active
Organization
WONDERFULLY MADE THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA NAIL PTA (PHYSICAL THERAPIST ASSISTANT, OWNER)
(918) 809-0101
Entity
Organization
Contact information
Practice address
211 E 7TH ST, OKMULGEE, OK 74447-4607
(918) 809-0101
Mailing address
8930 HILLTOP RD, BEGGS, OK 74421-2018
(918) 809-0101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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