Organization
CALERA PHYSICAL THERAPY AND SPORT REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MANNING (OWNER)
(405) 706-1266
Entity
Organization
Contact information
Practice address
213 E MAIN ST, CALERA, OK 74730-2115
(405) 706-1266
Mailing address
231 E MAIN STREET, CALERA, OK 74730-2115
(405) 706-1266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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