Organization
ADA MEDICAL INC
Active
Other names
Ada Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTY DENNIS PT (PRES)
(580) 332-3353
Entity
Organization
Contact information
Practice address
1414 ARLINGTON STREET, SUITE 2300, ADA, OK 74820
(580) 332-3353
(580) 332-3053
Mailing address
15269 COUNTY ROAD 3610, ADA, OK 74820
(580) 332-3353
(580) 332-3053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2326
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427293448
NPI
OK
Enumeration date
09/06/2016
Last updated
09/06/2016
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