| NPI | 1831798453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA WILSON Speech Language Pathologist 918-541-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2020-12-22 |