Grand Slam Rehabilitation L.l.c.
NPI #1073560942 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1073560942
- Entity Type
- Organization
- Organization Name
- Grand Slam Rehabilitation L.l.c.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 27, 2006
- Last Updated
- Mar 9, 2012
Practice Location
- Address
- 6510 S WESTERN AVE
- Address 2
- SUITE 400
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73139-1712
- Phone
- (405) 631-8888
Authorized Official
- Name
- MR. DEREK PRENTICE
- Title
- MANAGING MEMBER
- Phone
- (405) 418-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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