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Organization

TRINITY REHABILITATION GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROME E BLOCK MD (PRESIDENT)
(918) 935-2004
Entity
Organization

Contact information

Practice address
6048 S. SHERIDAN, SUITE E, TULSA, OK 74145-9212
(918) 935-2004
(918) 895-7887
Mailing address
6048 S. SHERIDAN, SUITE E, TULSA, OK 74145-9212
(918) 935-2004
(918) 895-7887

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OK
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)

Other

Enumeration date
06/13/2006
Last updated
11/17/2011
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