Healthcare Provider Details

I. General information

NPI: 1912587452
Provider Name (Legal Business Name): QUEST NORMAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 24TH AVE NW STE 130
NORMAN OK
73069-6485
US

IV. Provider business mailing address

1012 24TH AVE NW STE 130
NORMAN OK
73069-6485
US

V. Phone/Fax

Practice location:
  • Phone: 405-601-4303
  • Fax: 405-703-9144
Mailing address:
  • Phone: 405-601-4303
  • Fax: 405-703-9144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH HYLTON
Title or Position: CO-OWNER
Credential: OT
Phone: 405-601-4303