Organization
THERAPY INNOVATIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH FUKSA (PRESIDENT)
(580) 234-1115
Entity
Organization
Contact information
Practice address
809 W MAINE AVE, ENID, OK 73701-5415
(580) 234-1115
Mailing address
809 W MAINE AVE, ENID, OK 73701-5415
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3116
OK
225X00000X
Occupational Therapist
Primary
1085
OK
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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