| Physical Therapy Associates Inc | |
|
112 N Blaine, Suite A, Chandler, OK 74834 | |
| (405) 258-8644 | |
| (405) 240-5145 |
| Full Name | Physical Therapy Associates Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 112 N Blaine, Chandler, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144249293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Randel B Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134165103 PECOS PAC ID: 7315962487 Enrollment ID: I20120216000493 |
| Provider Name | Christin L Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306882584 PECOS PAC ID: 3678598745 Enrollment ID: I20120220001136 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy Associates Inc Po Box 57710, Physical Therapy Associates, Oklahoma City, OK 73157-7710 Ph: (405) 258-8644 | Physical Therapy Associates Inc 112 N Blaine, Suite A, Chandler, OK 74834 Ph: (405) 258-8644 |
Randel Brad Davis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 N Blaine Ave, Suite A, Chandler, OK 74834 Phone: 405-258-8644 Fax: 405-240-5145 | |
Christin L Davis, REGISTERED PHYSICAL Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 North Blaine, Suite A, Chandler, OK 74834 Phone: 405-258-8644 Fax: 405-240-5145 |