Organization
ENVIDA REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON MARTINEZ (MANAGING DIRECTOR)
(918) 369-9100
Entity
Organization
Contact information
Practice address
8222 E 103RD ST, SUITE 127, TULSA, OK 74133-7081
(918) 369-9100
(918) 369-9050
Mailing address
8222 E 103RD ST, SUITE 127, TULSA, OK 74133-7081
(918) 369-9100
(918) 369-9050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1939
OK
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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