| Collaborative Therapy Services Inc | |
|
2221 W Detroit St Broken Arrow OK 74012-3628 | |
| (918) 615-6492 | |
| (918) 615-6493 |
| Full Name | Collaborative Therapy Services Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2221 W Detroit St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Lauren Elizabeth Woodward (PRESIDENT) |
| Authorized Official Contact | 9188095483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Therapy Services Inc 2221 W Detroit St Broken Arrow OK 74012-3628 Ph: (918) 615-6492 | Collaborative Therapy Services Inc 2221 W Detroit St Broken Arrow OK 74012-3628 Ph: (918) 615-6492 |
| NPI Number | 1932344835 |
|---|---|
| Provider Enumeration Date | 12/05/2008 |
| Last Update Date | 11/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932344835 | NPI | - | NPPES |
| 200224210A | Medicaid | OK | |
| 200224210C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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