Organization
PROFESSIONAL REHAB & ORTHO PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY MICHAEL SIEGENTHALER PT, DPT (PRESIDENT)
(918) 809-8666
Entity
Organization
Contact information
Practice address
9120 FERGUSON RD, BEGGS, OK 74421-2384
(918) 267-3180
Mailing address
9120 FERGUSON RD, BEGGS, OK 74421-2384
(918) 267-3180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2167
OK
225X00000X
Occupational Therapist
Primary
735
OK
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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