Organization
FUNCTIONAL PERFORMANCE TRAINING AND PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S CRANSTON P.T. (OWNER)
(405) 850-1375
Entity
Organization
Contact information
Practice address
13512 N EASTERN AVE, SUITE A, OKLAHOMA CITY, OK 73131-1812
(405) 478-5333
(405) 478-5334
Mailing address
13512 N EASTERN AVE, SUITE A, OKLAHOMA CITY, OK 73131-1812
(405) 478-5333
(405) 478-5334
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 1084
OK
Other
Enumeration date
12/02/2011
Last updated
06/18/2012
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