Organization
MOBILE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS W EASTON PT (PHYSICAL THERAPIST)
(405) 513-2212
Entity
Organization
Contact information
Practice address
2117 CEDAR POINTE LN, EDMOND, OK 73003-2463
(405) 513-2212
Mailing address
2117 CEDAR POINTE LN, EDMOND, OK 73003-2463
(405) 513-2212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2407
STATE LICENSE
OK
Enumeration date
04/20/2020
Last updated
04/20/2020
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