Abc Pediatric Rehab LLC

Organization Pediatric Sports Medicine Physician · NPI 1679172993

Abc Pediatric Rehab LLC is a Pediatric Sports Medicine Physician in Oklahoma City, Oklahoma. Works from 2 locations. Registered with an NPI since 2020.

In the registry since: 2020
Specialties on file: 5

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

508 W I 240 Service Rd
Oklahoma City, OK 73139-4400
Phone: (405) 724-9303
Fax: (405) 724-9617

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

1808 Dorothy Dr, Moore, OK 73170-1457 — (405) 570-2672

Specialties & licences

Physical Therapy Clinic/Center (primary)	Taxonomy 261QP2000X
Pediatric Sports Medicine Physician	Taxonomy 2080S0010X
Pediatric Physical Therapist	Taxonomy 2251P0200X
Physical Therapy Assistant	Taxonomy 225200000X
Massage Therapist	Taxonomy 225700000X

Record details

NPI number	1679172993
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Victoria Alvarado — Owner/Pta · (405) 845-3389
NPI enumerated	October 19, 2020
Last updated in NPPES	April 7, 2021
Certification date	April 7, 2021
Mailing address	1808 Dorothy Dr, Moore, OK 73170-1457