Excel-Ardmore LLC

NPI #1730251620 in Ardmore, Oklahoma

Provider Information

NPI Number: 1730251620
Entity Type: Organization
Organization Name: Excel-Ardmore LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EXCEL THERAPY SPECIALISTS, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 15, 2006
Last Updated: Feb 14, 2011

Practice Location

Address: 2002 12TH STREET NW
Address 2: STE A
City: Ardmore
State: Oklahoma
ZIP Code: 73401
Phone: (580) 226-9235

Authorized Official

Name: TIM MINNICK
Title: PRESIDENT
Phone: (918) 259-9522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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