Provider Demographics
NPI:1245672591
Name:CL THERAPY INC.
Entity type:Organization
Organization Name:CL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:PTA / CWTS/ CEASII
Authorized Official - Phone:580-284-8853
Mailing Address - Street 1:4166 COUNTY ROAD 1320
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:OK
Mailing Address - Zip Code:73015-2270
Mailing Address - Country:US
Mailing Address - Phone:580-284-8853
Mailing Address - Fax:580-654-2210
Practice Address - Street 1:4166 COUNTY ROAD 1320
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:OK
Practice Address - Zip Code:73015-2270
Practice Address - Country:US
Practice Address - Phone:580-284-8853
Practice Address - Fax:580-654-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1236261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy