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Ok-Theraplay

NPI #1770166779 in Edmond, Oklahoma

Provider Information

NPI Number
1770166779
Entity Type
Organization
Organization Name
Ok-Theraplay
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Apr 28, 2021
Last Updated
Apr 28, 2021

Practice Location

Address
1205 KINGSTON BLVD
City
Edmond
State
Oklahoma
ZIP Code
73034-3227
Phone
(580) 318-9415

Authorized Official

Name
KORTNEI DIANE GUTIERREZ, COTA
Title
OWNER
Phone
(580) 318-9415

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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