| NPI | 1790734358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNNE HOLLEMAN Otr/ Owner 405-610-3048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK ot999) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 3570) |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 2631) | |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 3070) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |