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General NPI Number Information
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NPI Number | 1184481988
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Entity Type | Organization
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Legal Business Name | CHOICE PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 4900 OKLAHOMA AVE STE 200
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City | WOODWARD
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State | OK
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Zip | 73801-3719
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Country | US
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Telephone | 405-229-7840
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Fax |
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Provider Business Mailing Address
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Address Line | 402 N ELM ST
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City | MOORELAND
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State | OK
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Zip | 73852-9316
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Country | US
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Telephone | 405-229-7840
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Fax |
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Authorized Official
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Title or Position | MANAGING OWNER/THERAPIST
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Name | RYAN TIMOTHY CLEM
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Credential | MPT
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Telephone | 405-229-7840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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