OrganizationActive
Mainstream Physical Therapy L.L.C.
NPI 1649549056 · Orthopedic Physical Therapist · Stigler, OK
Provider details
- NPI number
- 1649549056
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Sidney Gatzman, Rpt(918) 967-3547
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
30352 S Vfw Rd
Stigler, OK 74462-3606
Phone: (918) 967-3547
Fax: (918) 967-3547
Approximate (ZIP-level) locationGet directions
Mailing address
30352 S Vfw Rd
Stigler, OK 74462-3606
Registry dates
- Enumerated
- 2011-12-14
- Last updated
- 2011-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.