Doctor Name: | MR. PAUL SMITH |
NPI Number: | 1306112503 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2941 E 94th Pl Tulsa, OK - 741378723 |
Business Phone Number: | 9182991474 |
Business Fax Number: | |
Mailing Address: | 8251 S Sandusky Ave, TULSA |
State: | OK |
Postal Code: | 741371834 |
Phone Number: | 9185211717 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2012 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |