| NPI | 1336796242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIAH A HADSALL Owner 405-585-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2019-08-25 |
| Last Update Date | 2023-08-08 |