| NPI | 1205355252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE SCOTT Therapist/PT Owner 918-809-7919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2394) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |