Healthcare Provider Details

I. General information

NPI: 1154971323
Provider Name (Legal Business Name): OKLAHOMA HAND AND PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8215 E REGAL CT STE 108
TULSA OK
74133-7185
US

IV. Provider business mailing address

8215 E REGAL CT STE 108
TULSA OK
74133-7185
US

V. Phone/Fax

Practice location:
  • Phone: 918-645-3143
  • Fax:
Mailing address:
  • Phone: 918-645-1343
  • Fax: 918-802-7164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RHONDA MILLET
Title or Position: OWNER
Credential: MSPT CHT
Phone: 918-645-3143