Organization
GOLD STANDARD PHYSICAL THERAPY AND PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LUM DPT (PHYSICAL THERAPIST)
(918) 839-7888
Entity
Organization
Contact information
Practice address
4202 E 103RD ST, TULSA, OK 74137-5910
(918) 839-7888
Mailing address
4202 E 103RD ST, TULSA, OK 74137-5910
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2022
Last updated
05/08/2022
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