Organization
CORE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY TOD TREGONING D.C. (OWNER)
(918) 381-9024
Entity
Organization
Contact information
Practice address
4705 W URBANA ST, BROKEN ARROW, OK 74012-5998
(918) 381-9024
(918) 518-6510
Mailing address
4705 W URBANA ST, BROKEN ARROW, OK 74012-5998
(918) 381-9024
(918) 518-6510
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2010
Last updated
11/14/2010
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