Fundamental Physical Therapy Pllc

LBN: Fundamental Physical Therapy Pllc
Fundamental Physical Therapy Pllc is an health care organization with primary practice located at 3500 S Boulevard Suite A1, Edmond OK 73013-5486. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Fundamental Physical Therapy Pllc can be contacted via phone (405) 518-8118, or through Clark, Debra Sue via phone (405) 513-8118.

Contact Information

Primary practice address
3500 S Boulevard Suite A1 Edmond OK 73013-5486
Phone: (405) 518-8118
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Debra Sue DPT
Phone: (405) 513-8118

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 821 Oklahoma

Profile Details

NPI number 1215266671
LBN Legal business name Fundamental Physical Therapy Pllc
DBA Doing business as
Authorized official Clark, Debra Sue DPT
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2009
Last updated Sep 1st, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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