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Organization
THERAPY TIME PEDIATRICS ST LLC
Active
Organization
THERAPY TIME PEDIATRICS ST LLC
Active
Other names
Achieve Pediatric Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY ROSS MC CCC-SLP (OWNER)
(918) 798-2116
Entity
Organization
Contact information
Practice address
16 S A AVE UNIT 684, BIXBY, OK 74008-4570
(918) 798-2116
(918) 513-6777
Mailing address
16 S A AVE UNIT 684, BIXBY, OK 74008-4570
(918) 798-2116
(918) 513-6777
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200911010A
—
OK
Enumeration date
06/01/2020
Last updated
03/03/2025
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