| NPI | 1770261992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYN GARBA Speech Language Pathologist 405-471-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |