| |
715 W Main St, Suite F, Jenks, OK 74037-3553 | |
(918) 298-2381 | |
(918) 298-2357 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 715 W Main St, Jenks, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487730958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Kimberly L Briguccia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770559940 PECOS PAC ID: 1254467319 Enrollment ID: I20100327000373 |
Provider Name | Mary Ann Molinaro |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851609754 PECOS PAC ID: 4486827144 Enrollment ID: I20111026000125 |
Mailing Address | Practice Location Address |
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1300 W Sam Houston Pkwy S, Suite 300, Houston, TX 77042-2453 Ph: (713) 297-7000 | 715 W Main St, Suite F, Jenks, OK 74037-3553 Ph: (918) 298-2381 |