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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