Organization
PHYSICAL REHABILITATION CENTER ON RIVERSIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL M PIANALTO (PRESIDENT)
(918) 749-0003
Entity
Organization
Contact information
Practice address
9716 RIVERSIDE PKWY, 201, TULSA, OK 74137-7397
(918) 749-0003
(918) 749-0210
Mailing address
5577 S LEWIS AVE, TULSA, OK 74105-7132
(918) 749-0003
(918) 749-0210
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2010
Last updated
07/08/2011
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