Organization Name: | SUMMIT PHYSICAL THERAPY AND REHAB, INC. |
NPI Number: | 1164657920 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA HELEN HAVENSTRITE (CREDENTIALING MANAGER) |
Mailing Address: | 165 Steve Barry Blvd Pryor |
State: | OK US |
Postal Code: | 743616841 |
Phone Number: | 9188244500 |
Fax Number: | 9188241977 |
NPI Enumeration Date: | 05/22/2009 |
NPI Last Update Date: | 05/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3812 |
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 |