Provider Demographics
NPI:1427216977
Name:PHYSICAL THERAPY CENTRAL STILLWATER
Entity Type:Organization
Organization Name:PHYSICAL THERAPY CENTRAL STILLWATER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGIT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:405-809-8709
Mailing Address - Street 1:440 MERCHANT DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6470
Mailing Address - Country:US
Mailing Address - Phone:405-579-1600
Mailing Address - Fax:405-579-1601
Practice Address - Street 1:OSU SERETEAN WELLNESS CTR
Practice Address - Street 2:1514 W HALL OF FAME
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74078-0001
Practice Address - Country:US
Practice Address - Phone:405-744-1359
Practice Address - Fax:405-744-1360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty