Organization
N VOC #19
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANAH PATT (VP)
(405) 609-3600
Entity
Organization
Contact information
Practice address
1400 LERA, WEATHERFORD, OK 73096-2629
(580) 772-3200
Mailing address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
(405) 609-3600
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051680U
—
OK
Enumeration date
03/22/2020
Last updated
03/22/2020
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