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NPI 1972050052 · live from the CMS NPI Registry

Ada Medical INC

Physical Therapist in Ada, OK. National Provider Identifier 1972050052, active.

NPI record

NPI1972050052 Type 2 · organization
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice location1414 Arlington Street, Suite 2300, Ada, OK 74820
Practice phone580-332-3353
Mailing address15269 County Road 3610, Ada, OK 74820
EnumeratedSeptember 6, 2016
Last updatedSeptember 6, 2016
Authorized officialDusty Dennis, Pres
Other namesAda Physical Therapy

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist primary225100000X2326 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.