Basic Information
| Provider Information | |||||||||
| NPI: | 1730831868 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REDBUD PHYSICAL THERAPY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 721018 | ||||||||
| Address2: | |||||||||
| City: | NORMAN | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730704786 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8128093715 | ||||||||
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| Practice Location | |||||||||
| Address1: | 209 E ROGERS BLVD | ||||||||
| Address2: | |||||||||
| City: | SKIATOOK | ||||||||
| State: | OK | ||||||||
| PostalCode: | 740701251 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9183969799 | ||||||||
| FaxNumber: | 9183969891 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/20/2022 | ||||||||
| LastUpdateDate: | 02/03/2022 | ||||||||
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| AuthorizedOfficialLastName: | FINLEY | ||||||||
| AuthorizedOfficialFirstName: | BRIDGIT | ||||||||
| AuthorizedOfficialMiddleName: | ANN | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 4058098715 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.