| NPI | 1841965662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA MANGRUM President 405-625-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |