Organization
ERIC C SMITH LLC
Active
Other names
KEE Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JODY SMITH (OFFICE MANAGER)
(918) 504-9482
Entity
Organization
Contact information
Practice address
8165 S MINGO RD STE 100, TULSA, OK 74133-4667
(918) 504-9482
Mailing address
4226 E 52ND ST, TULSA, OK 74135-3907
(918) 504-9482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3643
OK
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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