Oklahoma Physical Medicine and Rehabilitation, PC
NPI #1427279561 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1427279561
- Entity Type
- Organization
- Organization Name
- Oklahoma Physical Medicine and Rehabilitation, PC
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- May 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1621 S EUCALYPTUS AVE
- Address 2
- SUITE 204
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-5940
- Phone
- (918) 252-7952
Authorized Official
- Name
- DR. TIMOTHY G PETTINGELL, M.D.
- Title
- PHYSICIAN
- Phone
- (918) 252-7952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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