Organization
STEP GUARD, PLLC
Active
Organization
STEP GUARD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE LEE CASEY DPT (PHYSICAL THERAPIST)
(405) 808-8128
Entity
Organization
Contact information
Practice address
20208 E 37TH ST S, BROKEN ARROW, OK 74014-1755
(405) 808-8128
Mailing address
20208 E 37TH ST S, BROKEN ARROW, OK 74014-1755
(405) 808-8128
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
4745
OK
261QA0900X
Amputee Clinic/Center
4745
OK
261QP2000X
Physical Therapy Clinic/Center
Primary
4745
OK
Other
Enumeration date
11/02/2017
Last updated
02/22/2018
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