NPI 1366824047

Integris

Organisation Early Intervention Provider Agency Miami, OK

Practice location

Address: 310 2nd Ave SW, Miami, OK 74354-6743
Phone: (918) 540-7736
Fax: (918) 540-7739

Authorised official

Name: Susann Marie Montgomery
Title: Physical Therapist
Phone: (918) 540-7736

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Oklahoma →

Registry record

NPI: 1366824047
Entity type: Organization
NPI issued: 18 Jun 2015
Record last updated: 18 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.