Northeastern Physical Rehab, Inc.

NPI #1447337423 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1447337423
Entity Type: Organization
Organization Name: Northeastern Physical Rehab, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Nov 1, 2006
Last Updated: Apr 25, 2008

Practice Location

Address: 1500 E DOWNING ST STE 210
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-3379
Phone: (918) 458-5115

Authorized Official

Name: MR. CARL BRENT SCOTT, P.T.
Title: OWNER
Phone: (918) 458-5115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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