Organization
GREEN COUNTRY PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JOSEPHY SYLVESTER PT (OWNER)
(918) 352-3838
Entity
Organization
Contact information
Practice address
115 E BROADWAY ST, DRUMRIGHT, OK 74030-3801
(918) 352-3838
(918) 352-2844
Mailing address
115 E BROADWAY ST, DRUMRIGHT, OK 74030-3801
(918) 352-3838
(918) 352-2844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1980
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744020A
—
OK
Enumeration date
09/25/2006
Last updated
07/08/2010
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