Provider Demographics
NPI:1588475297
Name:HAVILAH THERAPY SERVICES LLC
Entity type:Organization
Organization Name:HAVILAH THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ENIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINJOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-478-3010
Mailing Address - Street 1:3400 OWL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-3647
Mailing Address - Country:US
Mailing Address - Phone:405-406-0491
Mailing Address - Fax:
Practice Address - Street 1:3400 OWL CREEK DR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-3647
Practice Address - Country:US
Practice Address - Phone:405-406-0491
Practice Address - Fax:405-265-7082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy