Organization
VALIR OUTPATIENT CLINIC #5 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANAH PATT (VP)
(405) 609-3600
Entity
Organization
Contact information
Practice address
7005 SE 15TH ST, MIDWEST CITY, OK 73110-5100
(405) 610-2488
(405) 610-2484
Mailing address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
(405) 609-3600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051680E
—
OK
Enumeration date
04/25/2017
Last updated
03/22/2020
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