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NPI Code Detail

MEDICARE: RSG, PLLC

MEDICARE: RSG, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist
2235Z00000XSpeech-Language Pathologist
32251P0200XPediatric Physical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831603745
Entity Type Code : Organization
Provider Name (Legal Business Name) : RSG, PLLC
Provider Business Mailing Address
First Line : 9031 SW 29TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73179-2818
Country : US
Telephone Number : 405-732-3946
Fax Number :
Provider Business Practice Location Address
First Line : 9031 SW 29TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73179-2818
Country : US
Telephone Number : 405-732-3946
Fax Number :
Authorized Official
Title or Position : MANAGER/OWNER
Name : BARBARA PETERS
Credential : PT, DPT
Telephone Number : 405-732-3946
Provider Enumeration Date : 11/30/2017
Last Update Date : 03/17/2018

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