Organization
CUTTING EDGE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN G WALLACE (MEMBER)
(405) 265-1628
Entity
Organization
Contact information
Practice address
526 SW 4TH ST, SUITE 200, MOORE, OK 73160-4928
(405) 759-2700
(405) 759-2722
Mailing address
526 SW 4TH ST STE 200, MOORE, OK 73160-5409
(405) 759-2700
(405) 759-2722
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1796
OK
Other
Enumeration date
07/03/2014
Last updated
01/21/2026
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