| NPI | 1811959398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BISHOP Medicaid Coordinator 918-341-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 103TC1900X Psychologist, Counseling | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2025-09-11 |