| NPI | 1417666033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SCOTT CAPERTON Co Owner 918-544-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 224Z00000X Occupational Therapy Assistant | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2023-03-08 |