| NPI | 1245463991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON ROBERSON Director 405-285-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OK OK1522) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2017-04-17 |