| NPI | 1639439870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETHEA SHRUM Owner 918-810-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OK 1731) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |