Organization · Type 2 NPI

Okla Rehab Pulmonary Specialist

Comprehensive Outpatient Rehabilitation Facility (CORF) · Tahlequah, OK

NPI number 1114179090 Active

Practice location

10 Plaza South
Tahlequah, OK 74464

Mailing address

6767 S Yale Ave, Ste B
Tulsa, OK 74136-3302

Specialties and licenses

TaxonomyCodeLicense
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary 261QR0401XOK1843 (OK)

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

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About NPI 1114179090

Okla Rehab Pulmonary Specialist's National Provider Identifier is 1114179090, issued on Oct 22, 2008. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Tahlequah, OK. The record was last updated on Nov 24, 2008.