Organization
INTEGRIS JIM THORPE REHABILITATION MOORE
Active
Organization
INTEGRIS JIM THORPE REHABILITATION MOORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA ELIZABETH DENTON (PHYSICAL THERAPIST ASSISTANT)
(405) 559-8498
Entity
Organization
Contact information
Practice address
2111 RIVERWALK DR, MOORE, OK 73160-2700
(405) 793-7885
(405) 793-7893
Mailing address
2111 RIVERWALK DR, MOORE, OK 73160-2700
(405) 793-7885
(405) 793-7893
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
TA73
OK
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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