Organization
DRAYER PHYSICAL THERAPY OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VICE PRESIDENT)
(423) 238-2313
Entity
Organization
Contact information
Practice address
11319 S STATE HIGHWAY 51 STE 900, COWETA, OK 74429-7163
(918) 887-8112
(918) 887-8114
Mailing address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 839-2188
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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