Healthcare Provider Details

I. General information

NPI: 1154738250
Provider Name (Legal Business Name): THERAPY IN MOTION, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2014
Last Update Date: 08/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 SW 19TH ST
MOORE OK
73160
US

IV. Provider business mailing address

2475 BOARDWALK
NORMAN OK
73069-6332
US

V. Phone/Fax

Practice location:
  • Phone: 405-237-3400
  • Fax: 405-237-3401
Mailing address:
  • Phone: 405-447-1991
  • Fax: 405-447-1198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBIN ANNESLEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 405-447-1991