| NPI | 1851755235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA NICOLE WESTHOFF Speech Language Pathologist 918-694-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4207) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-06-29 |