| |
402 W Main St, Henryetta, OK 74437-4242 | |
(918) 652-0443 | |
(918) 652-0434 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 402 W Main St, Henryetta, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174927297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
402 W Main St, Henryetta, OK 74437-4242 Ph: (918) 652-0443 | 402 W Main St, Henryetta, OK 74437-4242 Ph: (918) 652-0443 |
Richard J Johns Ii, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 W Main St, Henryetta, OK 74437 Phone: 918-652-0443 Fax: 918-652-0434 |