| NPI | 1053361741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE OWEN SHELTON Speech Language Pathologist 580-223-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |