National Provider Identifier Database

SOUTHWEST REHABILITATION
Rehabilitation


Contact Information

SOUTHWEST REHABILITATION
4221 S WESTERN AVE
SUITE 3010
OKLAHOMA CITY, OK73109-3447
Phone: 405-636-7452
Fax: 405-631-2296
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for SOUTHWEST REHABILITATION

NPI Number 1134152036
Legal business name
LBN
SOUTHWEST REHABILITATION
Authorized official AMAL MOORAD - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/07/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 10853

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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