| NPI | 1033248356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MICHELL VAN HORN Speech Language Pathologist Owner 918-640-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3168) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2007-12-07 |