Healthcare Provider Details

I. General information

NPI: 1821409608
Provider Name (Legal Business Name): THERAPY IN MOTION, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 08/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 BOARDWALK
NORMAN OK
73069-6332
US

IV. Provider business mailing address

334 12TH AVE SE SUITE 130
NORMAN OK
73071-5070
US

V. Phone/Fax

Practice location:
  • Phone: 405-447-1991
  • Fax: 405-447-1198
Mailing address:
  • Phone: 405-310-6590
  • Fax: 405-310-6591

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