| NPI | 1255600458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L THAIN Speech Language Pathologist 918-470-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3660) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |