Organization
BROKEN ARROW REHABILITATION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA CLAMMER (OFFICE MANAGER)
(918) 451-5276
Entity
Organization
Contact information
Practice address
2950 S ELM PL STE 240, BROKEN ARROW, OK 74012-7871
(918) 451-5276
(918) 451-5123
Mailing address
2950 S ELM PL STE 240, BROKEN ARROW, OK 74012-7871
(918) 451-5276
(918) 451-5123
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
OK19313
OK
225400000X
Rehabilitation Practitioner
Primary
OK19953
OK
225400000X
Rehabilitation Practitioner
OK4055
OK
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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