Doctor Name: | MRS. TERESA JO MCILROY |
NPI Number: | 1043512064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | PT1361 |
Business Practice Address: | 8937 S Garnett Rd Broken Arrow, OK - 740126004 |
Business Phone Number: | 9186153722 |
Business Fax Number: | 9186153723 |
Mailing Address: | 224 W Deer Valley Dr, CATOOSA |
State: | OK |
Postal Code: | 740152351 |
Phone Number: | 9182660427 |
Fax Number: | 9182660428 |
NPI Enumeration Date: | 11/23/2010 |
NPI Last Update Date: | 11/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |