Spectrum Therapy Center, Corp.

NPI #1912132358 in Edmond, Oklahoma

Provider Information

NPI Number: 1912132358
Entity Type: Organization
Organization Name: Spectrum Therapy Center, Corp.
Primary Specialty: Specialist
Enumeration Date: May 28, 2009
Last Updated: May 28, 2009

Practice Location

Address: 301 S BOULEVARD ST
Address 2: SUITE 126
City: Edmond
State: Oklahoma
ZIP Code: 73034-3878
Phone: (405) 285-6765

Authorized Official

Name: MRS. DIANNA PERSUN, OTR
Title: PRESIDENT/ OCCUPATIONAL THERAPIST
Phone: (405) 285-6765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Specialist	174400000X	Primary

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