OrganizationActive
Advanced Occupational Rehabilitaion,inc
NPI 1104995653 · Sports Medicine (Internal Medicine) Physician · Tulsa, OK
Provider details
- NPI number
- 1104995653
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Faraday Pour, Manager
Practice location
2121 S Columbia Ave Ste 501
Tulsa, OK 74114-3513
Phone: (918) 340-0462
Fax: (405) 340-5432
Mailing address
2121 S Columbia Ave Ste 501
Tulsa, OK 74114-3513
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2007-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.