Healthcare Provider Details

I. General information

NPI: 1447588348
Provider Name (Legal Business Name): HEALTH RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2009
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N STONEWALL AVE
OKLAHOMA CITY OK
73117-1215
US

IV. Provider business mailing address

1200 N STONEWALL AVE
OKLAHOMA CITY OK
73117-1215
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-2866
  • Fax:
Mailing address:
  • Phone: 405-271-2866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number4212
License Number StateOK

VIII. Authorized Official

Name: MARTHA FERRETTI
Title or Position: DEPARTMENT CHAIRMAN/PROFESSOR
Credential:
Phone: 405-271-2131