Last Updated: 12/5/2025 5:24:46 AM
Facility Detail| Corporation / 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 | 05/27/2025 |
| Expiration Date | 06/30/2026 |
| Renewal Month | |
| End Date | |
| Status | License in Good Standing |
| In Process? | |
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