Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI Number | 1154906733 |
| LBN Legal business name | IGNITE MEDICAL RESORT BARTLESVILLE, LLC |
| Authorized official | TIM FIELDS - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/15/2021 |
| Last updated | 03/15/2021 - About 5 years ago |
| Identifiers | n/a |
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