| NPI | 1932715893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE ECKART Credentialing Specialist 405-247-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |