Organization
BOUNCE BACK REHAB, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA COPLIN (PARTNER)
(918) 272-1039
Entity
Organization
Contact information
Practice address
12899 E 76TH ST N, SUITE 116, OWASSO, OK 74055-4021
(918) 272-1039
(918) 272-7159
Mailing address
12899 E 76TH ST N, SUITE 116, OWASSO, OK 74055-4021
(918) 272-1039
(918) 272-7159
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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