Organization
REGENERATION PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY W PIERCEY (PRESIDENT)
(405) 834-7635
Entity
Organization
Contact information
Practice address
11620 MILL HOLLOW CT, OKLAHOMA CITY, OK 73131-7522
(405) 834-7635
Mailing address
11620 MILL HOLLOW CT, OKLAHOMA CITY, OK 73131-7522
(405) 834-7635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1949
OK
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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