Organization
RISENHOOVER PHYSICAL THERAPY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK NEIL RISENHOOVER RPT (MEMBER MANAGER OWNER)
(918) 431-1919
Entity
Organization
Contact information
Practice address
23 PLAZA SOUTH ST, TAHLEQUAH, OK 74464-4750
(918) 431-1919
Mailing address
23 PLAZA SOUTH ST, TAHLEQUAH, OK 74464-4750
(918) 431-1919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
02/08/2008
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