Provider Demographics
NPI:1073777991
Name:REHABSOURCE-THERAPY AT WORK, LLC
Entity Type:Organization
Organization Name:REHABSOURCE-THERAPY AT WORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-659-2003
Mailing Address - Street 1:4350 WILL ROGERS PKWY STE 600
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73108-1808
Mailing Address - Country:US
Mailing Address - Phone:405-948-2813
Mailing Address - Fax:405-948-2807
Practice Address - Street 1:4141 NW EXPRESSWAY STE 325
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1675
Practice Address - Country:US
Practice Address - Phone:405-767-9830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy