NPI 1528791514
Revitalize Therapy, LLC
Practice location
- Address
- 523 N Washington Ave, Durant, OK 74701-3403
- Phone
- (580) 634-2423
- Mailing address
- 1802 Juanitas Ln, Kingston, OK 73439-5477
Authorised official
- Name
- Gina Hatfield
- Title
- Owner
- Phone
- (580) 579-8114
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1528791514
- Entity type
- Organization
- NPI issued
- 6 Jul 2022
- Record last updated
- 6 Jul 2022
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.