Organization Name: | FULL FUNCTION REHABILITATION |
NPI Number: | 1417231424 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREA JORDAN (OWNER) |
Mailing Address: | 1113 S Douglas Blvd Ste C Midwest City |
State: | OK US |
Postal Code: | 731305264 |
Phone Number: | 4057375555 |
Fax Number: | 4057375556 |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |