| NPI | 1831774637 |
|---|---|
| Doing Business As | MINI MIRACLES PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | EDWIN BROWN Owner 405-247-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106H00000X Marriage & Family Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2024-06-10 |