| Organization Name: | PEAK REHABILITATION P.C. |
| NPI Number: | 1407173495 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MERLIN ANDRES JOHNSON (PRESIDENT) |
| Mailing Address: | 1355 W Rogers Blvd Suite 10 Skiatook |
| State: | OK US |
| Postal Code: | 740704204 |
| Phone Number: | 9183967125 |
| Fax Number: | 9183967186 |
| NPI Enumeration Date: | 04/29/2010 |
| NPI Last Update Date: | 04/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |