Organization
YUKON WOUND CARE AND REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI D BOOS (OWNER)
(405) 990-6023
Entity
Organization
Contact information
Practice address
1808 COMMONS CIRCLE, STE B, YUKON, OK 73099
(405) 265-2255
(405) 265-2215
Mailing address
9604 S ALLEN DR, OKLAHOMA CITY, OK 73139-5303
(405) 990-6023
(405) 265-2215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200134990A
—
OK
05
—
200535190A
—
OK
Enumeration date
03/20/2014
Last updated
08/04/2014
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