Imagine Pediatric Therapy, Pllc

NPI #1427257013 in Owasso, Oklahoma

Provider Information

NPI Number
1427257013
Entity Type
Organization
Organization Name
Imagine Pediatric Therapy, Pllc
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
Jul 13, 2007
Last Updated
Apr 20, 2008

Practice Location

Address
12899 E 76TH ST N UNIT NO117
City
Owasso
ZIP Code
74055-4026
Phone
(918) 609-6003

Authorized Official

Name
MRS. JESSICA A SANG, OTR/L
Title
MANAGER
Phone
(918) 269-4128

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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