| NPI | 1790291367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOURTNEY ANN READING Speech Language Pathologist 918-919-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2024-02-26 |