Organization Name: | CL THERAPY INC. |
NPI Number: | 1245672591 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER LAWRENCE (OWNER/ CEO) |
Mailing Address: | 4166 County Road 1320 Carnegie |
State: | OK US |
Postal Code: | 730152270 |
Phone Number: | 5802848853 |
Fax Number: | 5806542210 |
NPI Enumeration Date: | 07/26/2013 |
NPI Last Update Date: | 07/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 1236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |