Elite Peds Ok LLC
NPI #1417668674 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1417668674
- Entity Type
- Organization
- Organization Name
- Elite Peds Ok LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Dec 8, 2022
- Last Updated
- Aug 2, 2024
Practice Location
- Address
- 4800 W SAN ANTONIO ST # 101
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-6127
- Phone
- (918) 417-8740
Authorized Official
- Name
- ALEXIS LANGSTON, OTR
- Title
- OWNER
- Phone
- (918) 766-5233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Speech-Language Pathologist |
| Occupational Therapist |
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