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Organization

DURANT PHYSICAL THERAPY INC, PC

Active
Other names
Durant Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY NEIL HARPER PHYSICAL THERAPIST (OWNER/PT)
(580) 920-2231
Entity
Organization

Contact information

Practice address
3004 W UNIVERSITY BLVD, STE 101, DURANT, OK 74701-2998
(580) 920-2231
(580) 920-2242
Mailing address
3004 W UNIVERSITY BLVD, STE 101, DURANT, OK 74701-2998
(580) 920-2231
(580) 920-2242

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1133726
TX
225100000X
Physical Therapist
PT2365
OK
225100000X
Physical Therapist
Primary
PT2379
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200057810A
OK
01
611622500
US DEPT OF LABOR
OK
01
DD5543
RR MEDICARE
OK
Enumeration date
11/08/2006
Last updated
10/30/2015
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