Neuroresources Rehabilitation Specialists, Llc

NPI 1417968249 - Specialist - 174400000X

NPI Details
NPI 1417968249
Enumeration Date 08/10/2006
Last Updated 11/08/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TERESA MARIE TERESA
Position OWNER
Phone (405) 605-1466
Fax (405) 605-1467
Practice Location
6108 NW 63RD STREET
SUITE B
OKLAHOMA CITY OK, 73132-7553, US
Phone (405) 605-1466
Fax (405) 605-1467
Business Location
PO BOX 12036
OKLAHOMA CITY OK, 73157-2036, US
Phone (405) 605-1466
Fax (405) 605-1467
Toxanomy
Taxonomy Code 174400000X
License State Oklahoma
License Number OT646
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According to our database, Neuroresources Rehabilitation Specialists, Llc NPI is 1417968249, taxonomy code is 174400000X and license number is OT646, license state is located at Oklahoma. Neuroresources Rehabilitation Specialists, Llc physically located at 6108 Nw 63rd Street, Oklahoma City OK, 73132-7553. NPI Number 1033115704 has the healthcare provider type.

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1417968249 NPI number is provided on an as is basis without warranty of any kind. 1417968249 is maintained by the National Plan & Provider Enumeration System. The contents of Neuroresources Rehabilitation Specialists, Llc are for informational purposes only.