Last Updated: 12/22/2024 7:09:13 PM
Facility DetailCorporation / Company Owner Name | BOOMER 06, PLLC |
Business (DBA) Name | THE MOBILE THERAPY GROUP |
License Number | 1-E-8553 |
Facility Type | DME Supplier |
Address |
10921 S. WESTERN AVE STE 200 |
City, State, Zip | OKLAHOMA CITY,OK 73170 |
Country | |
Issue Date | 06/13/2024 |
Renewed Date | 06/14/2024 |
Expiration Date | 06/30/2025 |
Renewal Month | |
End Date | |
Status | License in Good Standing |
In Process? | |
Disciplinary
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