| NPI | 1427257013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A SANG Manager 918-269-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OK 944) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2008-04-20 |