Organization
PRECISION PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE GILLESPIE (DIRECTOR OF BILLING)
(405) 347-5123
Entity
Organization
Contact information
Practice address
20208 NE 23RD ST, HARRAH, OK 73045-9123
(405) 454-0010
(405) 454-0030
Mailing address
PO BOX 746, HARRAH, OK 73045-0746
(405) 454-0010
(405) 454-0030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200094980A
—
OK
05
—
200094980B
—
OK
Enumeration date
08/31/2006
Last updated
04/16/2024
Update your record
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