# ABLE KIDS THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134534787
- **Authorized official:** MS. PAMELA BETH MOORE O.T. (OWNER/ THERAPIST)
- **Authorized official phone:** (919) 622-6599

## Contact information

- **Practice address:** 5970 E 31ST ST STE F, TULSA, OK 74135-5112
- **Practice address phone:** (918) 622-6599
- **Practice address fax:** (918) 622-6209
- **Mailing address:** 5970 E 31ST ST STE F, TULSA, OK 74135-5112
- **Mailing address phone:** (918) 622-6599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | 889 | OK | — |
| 225X00000X | Occupational Therapist | 1303 | OK | Yes |

## Other

- **Enumeration date:** 06/23/2014
- **Last updated:** 06/23/2014