| NPI | 1578957684 |
|---|---|
| Doing Business As | 29TH STREET THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANIELLE EVA KLEVGARD Speech Language Pathologist 405-669-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4251) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |