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Organization

CONNECT HEALTH PROFESSIONALS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEREK MICHAEL PT (DIRECTOR OF REHABILITATION)
(405) 615-2545
Entity
Organization

Contact information

Practice address
14440 N LINCOLN BLVD, EDMOND, OK 73013-3408
(405) 418-4455
(405) 418-4995
Mailing address
14440 N LINCOLN BLVD, EDMOND, OK 73013-3408
(405) 418-4455
(405) 418-4995

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4575
OK

Other

Enumeration date
02/04/2014
Last updated
02/04/2014
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