| NPI | 1710107354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE R MOORE Audiologist 918-333-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: OK 190) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |