Organization
CHITWOOD PHYSICAL THERAPY PLLC
Active
Organization
CHITWOOD PHYSICAL THERAPY PLLC
Active
Other names
Elite Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY LYNN CHITWOOD M.P.T. (CHIEF PHYSICAL THERAPIST OWNER)
(918) 649-0405
Entity
Organization
Contact information
Practice address
24456 KERR RD, POTEAU, OK 74953
(918) 649-0405
(918) 647-0403
Mailing address
38271 HARMON RD, WISTER, OK 74966-2707
(817) 649-0405
(918) 647-0403
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3661
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46048007
HEALTHCHOICE
OK
Enumeration date
07/03/2007
Last updated
08/22/2020
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