| NPI | 1750310538 |
|---|---|
| Former Legal Business Name | THERAFUNCTION INC DBA THERAFUN |
| Entity Type | Organization |
| Authorized Contact | LANA J RISTAU Co Owner 405-202-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2022-06-07 |