Revitalize Therapy, LLC

NPI #1528791514 in Durant, Oklahoma

Provider Information

NPI Number: 1528791514
Entity Type: Organization
Organization Name: Revitalize Therapy, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 6, 2022
Last Updated: Jul 6, 2022

Practice Location

Address: 523 N WASHINGTON AVE
City: Durant
State: Oklahoma
ZIP Code: 74701-3403
Phone: (580) 634-2423

Authorized Official

Name: MRS. GINA HATFIELD, MOT, OTR/L
Title: OWNER
Phone: (580) 579-8114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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