NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1063707875 |   |   |   | PRO THERAPY SERVICES LLC | 3705 NW 63RD ST | OKLAHOMA CITY | OK | 731161935 |
1811007958 | CHAFFEE | ROBERT |   |   | 3705 NW 63RD ST | OKLAHOMA CITY | OK | 731161935 |