Organization
EXCEL THERAPY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MINNICK (PRESIDENT)
(918) 259-9522
Entity
Organization
Contact information
Practice address
698 WESTSIDE DR, STE 102, DURANT, OK 74701-3084
(580) 931-3300
(580) 931-3301
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
Other
Enumeration date
04/27/2010
Last updated
08/31/2010
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