| Organization Name: | MAINSTREAM PHYSICAL THERAPY L.L.C. |
| NPI Number: | 1649549056 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SIDNEY JOSEPH GATZMAN (RPT) |
| Mailing Address: | 30352 S Vfw Rd Stigler |
| State: | OK US |
| Postal Code: | 744623606 |
| Phone Number: | 9189673547 |
| Fax Number: | 9189673547 |
| NPI Enumeration Date: | 12/14/2011 |
| NPI Last Update Date: | 12/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |