Organization
VITAL PHYSICAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ALI PT (OWNER)
(918) 537-2211
Entity
Organization
Contact information
Practice address
3619 W BROADWAY ST, MUSKOGEE, OK 74401-2140
(918) 537-2211
Mailing address
3619 W BROADWAY ST, MUSKOGEE, OK 74401-2140
(918) 537-2211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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