Organization
ACTION PHYSICAL THERAPY & REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE LANDES PT (OWNER)
(405) 214-0300
Entity
Organization
Contact information
Practice address
2506 N HARRISON, SHAWNEE, OK 74804
(405) 214-0300
(405) 214-0301
Mailing address
PO BOX 3675, SHAWNEE, OK 74802-3675
(405) 214-0300
(405) 214-0301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200322790A
—
OK
Enumeration date
02/24/2011
Last updated
05/23/2019
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