Organization Name: | ABLE THERAPY SERVICES |
NPI Number: | 1669865481 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA MARIE HAMMONDS (OWNER) |
Mailing Address: | 37915 E County Road 1530 Pauls Valley |
State: | OK US |
Postal Code: | 730758949 |
Phone Number: | 4052073757 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2015 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 4065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |