| NPI | 1336383355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA NAVAS BRYANT Speech Language Pathologist 405-596-9987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2013-01-16 |