Organization
GREEN COUNTRY REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN BARRY MPT (PHYSICAL THERAPIST)
(918) 712-7805
Entity
Organization
Contact information
Practice address
1414 S DENVER AVE, TULSA, OK 74119-3423
(918) 712-7805
(918) 712-7813
Mailing address
17850 RED OAK CIR, COLLINSVILLE, OK 74021-6295
(918) 671-6804
(918) 553-6552
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3659
OK
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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