Provider Demographics
NPI:1033737606
Name:REDBUD PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:REDBUD PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGIT
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-809-8715
Mailing Address - Street 1:PO BOX 721628
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-8250
Mailing Address - Country:US
Mailing Address - Phone:405-809-8712
Mailing Address - Fax:405-573-6768
Practice Address - Street 1:12641 S HIGHWAY 51
Practice Address - Street 2:
Practice Address - City:COWETA
Practice Address - State:OK
Practice Address - Zip Code:74429
Practice Address - Country:US
Practice Address - Phone:918-486-1338
Practice Address - Fax:918-486-1357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies