| NPI | 1417630724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY STUART Operations Director 405-562-3776 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |