Healthcare Provider Details

I. General information

NPI: 1831603745
Provider Name (Legal Business Name): RSG, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9031 SW 29TH ST
OKLAHOMA CITY OK
73179-2818
US

IV. Provider business mailing address

9031 SW 29TH ST
OKLAHOMA CITY OK
73179-2818
US

V. Phone/Fax

Practice location:
  • Phone: 405-732-3946
  • Fax:
Mailing address:
  • Phone: 405-732-3946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: BARBARA PETERS
Title or Position: MANAGER/OWNER
Credential: PT, DPT
Phone: 405-732-3946