| NPI | 1891963278 |
|---|---|
| Doing Business As | 29TH STREET THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | COLETTE L. ELLIS Speech Language Pathologist 405-224-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 327) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |