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Organization
ABLE KIDS THERAPY
Active
Organization
ABLE KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA BETH MOORE O.T. (OWNER/ THERAPIST)
(919) 622-6599
Entity
Organization
Contact information
Practice address
5970 E 31ST ST STE F, TULSA, OK 74135-5112
(918) 622-6599
(918) 622-6209
Mailing address
5970 E 31ST ST STE F, TULSA, OK 74135-5112
(918) 622-6599
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
889
OK
225X00000X
Occupational Therapist
Primary
1303
OK
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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