NEURORESOURCES REHABILITATION SPECIALISTS LLC NPI 1417968249

NPI Information

NEURORESOURCES REHABILITATION SPECIALISTS, LLC is a specialist in Oklahoma City, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEURORESOURCES REHABILITATION SPECIALISTS, LLC NPI is 1417968249. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6108 NW 63RD STREET
SUITE B
OKLAHOMA CITY, OK
ZIP 73132-553
Phone: (405) 605-1466
Fax: (405) 605-1467

The provider's authorized official is Teresa Marie Tisdell .
The authorized official title is Owner and has the following contact phone number (405) 605-1466.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 11/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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