Blackline Recovery
NPI #1619862265 in Collinsville, Oklahoma
Provider Information
- NPI Number
- 1619862265
- Entity Type
- Organization
- Organization Name
- Blackline Recovery
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jun 12, 2025
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 11693 N GARNETT RD
- City
- Collinsville
- State
- Oklahoma
- ZIP Code
- 74021-5417
- Phone
- (918) 729-5396
Authorized Official
- Name
- RANDYE NICHOLE DIXON, PT, DPT
- Title
- DOCTOR OF PHYSICAL THERAPY/OWNER
- Phone
- (918) 729-5396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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