| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1275802639 | NORTHEASTERN PHYSICAL REHAB | 2021 MAHANEY AVE STE 6 | TAHLEQUAH | OK | 744645795 | |||
| 1447337423 | NORTHEASTERN PHYSICAL REHAB, INC. | 1500 E DOWNING ST STE 210 | TAHLEQUAH | OK | 744643379 | |||
| 1902230048 | RAY | CHARLES | EDWARD | 2021 MAHANEY AVE | TAHLEQUAH | OK | 744645794 | |
| 1124475645 | ROUSE | ERIC | EVERETT | 2021 MAHANEY AVE STE 6 | TAHLEQUAH | OK | 744645795 |