| NPI | 1730456344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARSHALL Owner 918-606-3178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 2444) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |