| NPI | 1861695611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI L WILKERSON Owner/Practitioner 918-682-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OK 144) |
| Additional Taxonomies | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: OK 144) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: OK 144) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2015-07-18 |