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Contact Information

HOME MODS BY THERAPISTS, LLC
3424 MOUNT WASHINGTON RD
ARDMORE, OK73401-9311
 Phone: 580-221-3950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for HOME MODS BY THERAPISTS LLC · (Female)

NPI Number 1326455486
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2014
Last updated 07/21/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 2242
  • OK License # 600
  • OK Medicaid 200006160A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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