Organization
CHICKASHA PHYSICAL THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA HORN PT (OWNER)
(405) 222-5030
Entity
Organization
Contact information
Practice address
626 W KANSAS AVE, CHICKASHA, OK 73018
(405) 222-5030
(405) 222-5050
Mailing address
626 W KANSAS AVE, CHICKASHA, OK 73018
(405) 222-5030
(405) 222-5050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
464
OK
2251S0007X
Sports Physical Therapist
464
OK
225X00000X
Occupational Therapist
124
OK
Other
Enumeration date
04/03/2007
Last updated
05/16/2008
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