| NPI | 1306101217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COBY L LIVINGSTONE Occupational Therapist 405-767-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: OK 1585) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |