Excel Physical Therapy Institute, LLC
NPI #1568685865 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1568685865
- Entity Type
- Organization
- Organization Name
- Excel Physical Therapy Institute, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1212 S AIR DEPOT BLVD
- Address 2
- SUITE 17
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-4870
- Phone
- (405) 455-3784
Authorized Official
- Name
- DR. SHAWN G WALLACE, PT, DPT
- Title
- OWNER - PARTNER
- Phone
- (405) 455-3784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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