NPI | 1417668674 |
---|---|
Doing Business As | ELITE PEDIATRIC THERAPY |
Entity Type | Organization |
Authorized Contact | ALEXIS LANGSTON Owner 918-766-5233 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225100000X Physical Therapist |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2022-12-08 |
Last Update Date | 2024-08-02 |