| NPI | 1174636385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY G SHAW Chief Operating Officer 918-488-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TR0400X Psychologist, Rehabilitation | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225C00000X Rehabilitation Counselor | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OK RC7247-7247) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |