Organization
N VOC #18
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANAH PATT (VP)
(405) 609-3600
Entity
Organization
Contact information
Practice address
225 W OWEN K GARRIOTT RD, ENID, OK 73701-5619
(580) 237-7896
(580) 233-6699
Mailing address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
(405) 609-3658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051680T
—
OK
Enumeration date
05/17/2017
Last updated
03/22/2020
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