| NPI | 1710266143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA BRANSTETTER Speech Language Pathologist 405-612-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3589) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |