Organization
PHYSICAL REHABILITATION CENTER ON MINGO LLC
Active
Other names
Physical Therapy Specialists of South Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL M PIANALTO (MANAGER)
(918) 615-6280
Entity
Organization
Contact information
Practice address
8165 S MINGO RD STE 101, TULSA, OK 74133-4667
(918) 615-6280
(918) 615-6240
Mailing address
8165 S MINGO RD STE 101, TULSA, OK 74133-4667
(918) 615-6280
(918) 615-6240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200839890A
—
OK
Enumeration date
03/20/2018
Last updated
11/08/2021
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