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Organization
CREEKSIDE THERAPY ASSOCIATES, LLC
Active
Organization
CREEKSIDE THERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY BARSTOW M.S CCC-SLP (OWNER, MANAGER)
(405) 220-3450
Entity
Organization
Contact information
Practice address
4760 HILLSIDE LN, EDMOND, OK 73025-1275
(405) 724-4232
(405) 754-1152
Mailing address
PO BOX 1622, EDMOND, OK 73083-1622
(405) 724-4232
(405) 754-1152
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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