Provider First Line Business Practice Location Address:
13512 N. EASTERN AVE, STE A
Provider Second Line Business Practice Location Address:
FUNCTIONAL PERFORMANCE TRAINING AND PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
OKC
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73131-1812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-478-5333
Provider Business Practice Location Address Fax Number:
405-478-5333
Provider Enumeration Date:
07/12/2005