Organization
EXCEL PHYSICAL THERAPY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN G WALLACE PT, DPT (OWNER - PARTNER)
(405) 455-3784
Entity
Organization
Contact information
Practice address
1212 S AIR DEPOT BLVD, SUITE 17, MIDWEST CITY, OK 73110-4870
(405) 455-3784
(405) 455-3844
Mailing address
1212 S AIR DEPOT BLVD, SUITE 17, MIDWEST CITY, OK 73110-4870
(405) 455-3784
(405) 455-3844
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
OK
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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