Excel Therapy Specialists

NPI #1336438761 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1336438761
Entity Type: Organization
Organization Name: Excel Therapy Specialists
Primary Specialty: Physical Therapist
Enumeration Date: Apr 6, 2011
Last Updated: Apr 6, 2011

Practice Location

Address: 409 DAISY DRIVE
Address 2: STE F-2
City: Tahlequah
State: Oklahoma
ZIP Code: 74464
Phone: (918) 458-9235

Authorized Official

Name: JANICE WAGONER
Title: MANAGED CARE
Phone: (918) 259-9522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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