Risenhoover Physical Therapy Plc

NPI #1902928583 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1902928583
Entity Type: Organization
Organization Name: Risenhoover Physical Therapy Plc
Primary Specialty: Physical Therapist
Enumeration Date: Apr 4, 2007
Last Updated: Feb 8, 2008

Practice Location

Address: 23 PLAZA SOUTH ST
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-4750
Phone: (918) 431-1919

Authorized Official

Name: RICK NEIL RISENHOOVER, RPT
Title: MEMBER MANAGER OWNER
Phone: (918) 431-1919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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