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NPI Code Detail

MEDICARE: PTMS 3.O, LLC

MEDICARE: PTMS 3.O, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1629189543
Entity Type Code : Organization
Provider Name (Legal Business Name) : PTMS 3.O, LLC
Provider Business Mailing Address
First Line : 34637 AIRLINE RD
Second Line :
City : PAULS VALLEY
State : OK
Zip : 73075-8583
Country : US
Telephone Number : 405-238-7000
Fax Number : 405-238-7005
Provider Business Practice Location Address
First Line : 34637 AIRLINE RD
Second Line :
City : PAULS VALLEY
State : OK
Zip : 73075-8583
Country : US
Telephone Number : 405-238-7000
Fax Number : 405-238-7005
Authorized Official
Title or Position : MANAGER
Name : BRIDGIT FINLEY
Credential :
Telephone Number : 405-809-8709
Provider Enumeration Date : 08/31/2006
Last Update Date : 02/25/2015

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