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Organization
OKC SPEECH, LLC
Active
Organization
OKC SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA COLLINS M.S. (SPEECH-LANGUAGE PATHOLOGIST)
(405) 397-3550
Entity
Organization
Contact information
Practice address
1620 MIDTOWN PLACE, MIDWEST CITY, OK 73130-6217
(405) 397-3550
(405) 399-2350
Mailing address
PO BOX 15, JONES, OK 73049-0015
(405) 397-3550
(405) 399-2350
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200677780 A
—
OK
Enumeration date
11/18/2016
Last updated
09/25/2019
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