NPI 1093840589

Tim Rj Passmore, EDDCTRS

Practitioner Recreation Therapist Stillwater, OK

Practice location

Address: 3124 W 24th Ave, Stillwater, OK 74074-2101
Phone: (405) 744-1811
Fax: (405) 744-6507

Registered specialties (2)

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in Oklahoma →

Specialist

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Oklahoma →

Registry record

NPI: 1093840589
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2007
Record last updated: 13 Apr 2010

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.