Organization
BLACKLINE RECOVERY
Active
Organization
BLACKLINE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDYE NICHOLE DIXON PT, DPT (DOCTOR OF PHYSICAL THERAPY/OWNER)
(918) 729-5396
Entity
Organization
Contact information
Practice address
11693 N GARNETT RD, COLLINSVILLE, OK 74021-5417
(918) 729-5396
Mailing address
11693 N GARNETT RD, COLLINSVILLE, OK 74021-5417
(918) 729-5396
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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