Organization
PER4MANCE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SHANE FOSTER MPT (CLINIC OWNER/ PHYSICAL THERAPIST)
(918) 923-4700
Entity
Organization
Contact information
Practice address
1500 N SIOUX AVE, CLAREMORE, OK 74017-7401
(918) 923-4700
(918) 923-4701
Mailing address
1500 N. SIOUX AVE, CLAREMORE, OK 74017-5085
(918) 923-4700
(918) 923-4701
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
11/08/2024
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