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Organization

BLUE ROCK HEALTH AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY CARROLL (MEMBER)
(580) 217-7100
Entity
Organization

Contact information

Practice address
103 W MAIN ST, MARLOW, OK 73055-2437
(580) 721-7100
(833) 210-5732
Mailing address
231 W MAIN ST, MARLOW, OK 73055-2439

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
09/12/2018
Last updated
08/03/2023
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