Organization
PENNEY REHAB AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN JOHN PENNEY PT (DIRECTOR)
(580) 927-0197
Entity
Organization
Contact information
Practice address
1004 S BROADWAY ST, COALGATE, OK 74538-2662
(580) 927-9121
(888) 780-0916
Mailing address
1004 S BROADWAY ST, COALGATE, OK 74538-2662
(580) 927-9121
(888) 780-0916
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2868
OK
Other
Enumeration date
09/30/2012
Last updated
09/30/2012
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