Organization
EXCEL THERAPY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM T MINNICK PT (PRESIDENT)
(918) 259-9522
Entity
Organization
Contact information
Practice address
2232 W HOUSTON ST, BROKEN ARROW, OK 74012-3529
(918) 259-9522
(918) 259-9521
Mailing address
2232 W HOUSTON ST, BROKEN ARROW, OK 74012-3529
(918) 259-9522
(918) 259-9521
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
08/31/2010
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