Organization
BAILEY BROOKS LLC
Active
Other names
Full Function Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA JORDAN R.N,M.S (OWNER)
(405) 737-5555
Entity
Organization
Contact information
Practice address
1113 S DOUGLAS BLVD, STE C, MIDWEST CITY, OK 73130-5264
(405) 737-5555
(405) 737-5556
Mailing address
1113 S DOUGLAS BLVD, STE C, MIDWEST CITY, OK 73130-5264
(405) 737-5555
(405) 737-5556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200389500A
—
OK
Enumeration date
10/10/2011
Last updated
08/19/2016
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