Organization
EXCEL-ARDMORE LLC
Active
Parent organization
EXCEL THERAPY SPECIALISTS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCEL THERAPY SPECIALISTS, LLC
Authorized official
TIM MINNICK (PRESIDENT)
(918) 259-9522
Entity
Organization
Contact information
Practice address
2002 12TH STREET NW, STE A, ARDMORE, OK 73401
(580) 226-9235
(580) 226-9239
Mailing address
2232 W HOUSTON ST, BROKEN ARROW, OK 74012-3529
(918) 259-9522
(918) 259-9521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OK
225X00000X
Occupational Therapist
—
OK
Other
Enumeration date
11/15/2006
Last updated
02/14/2011
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