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NPI Code Detail

MEDICARE: MID-DEL PHYSICAL THERAPY CLINIC INC.

MEDICARE: MID-DEL PHYSICAL THERAPY CLINIC INC.
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
1225100000XPhysical 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 : 1861416430
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-DEL PHYSICAL THERAPY CLINIC INC.
Provider Business Mailing Address
First Line : PO BOX 15171
Second Line :
City : DEL CITY
State : OK
Zip : 73155-5171
Country : US
Telephone Number : 405-209-4560
Fax Number :
Provider Business Practice Location Address
First Line : 2825 EPPERLY DR
Second Line :
City : DEL CITY
State : OK
Zip : 73115-3319
Country : US
Telephone Number : 405-209-4560
Fax Number :
Authorized Official
Title or Position : CORPORATE SECRETARY
Name : SHERI DANELL SILVER
Credential : P.T.
Telephone Number : 405-209-4560
Provider Enumeration Date : 07/27/2006
Last Update Date : 10/28/2022

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Directions to “MID-DEL PHYSICAL THERAPY CLINIC INC. ” Practice Location

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