Organization
VALIR OUTPATIENT CLINIC 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANAH PATT (VP)
(405) 609-3600
Entity
Organization
Contact information
Practice address
8409 S WESTERN AVE, OKLAHOMA CITY, OK 73139-9211
(405) 616-0113
Mailing address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051680K
—
OK
Enumeration date
04/20/2017
Last updated
03/19/2020
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