Healthcare Provider Details

I. General information

NPI: 1104816826
Provider Name (Legal Business Name): THERAPY LINKS PHYSICAL REHABILITATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3946 S HUDSON AVE
TULSA OK
74135-5608
US

IV. Provider business mailing address

PO BOX 33223
TULSA OK
74153-1223
US

V. Phone/Fax

Practice location:
  • Phone: 918-622-1242
  • Fax: 918-622-1291
Mailing address:
  • Phone: 918-622-1242
  • Fax: 918-622-1291

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: MRS. BETH ANN COFFMAN
Title or Position: HALF OWNER OF CLINIC MEMBER PLLC
Credential: MS OTRL
Phone: 918-622-1242