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Organization
THERAPYSOURCE FOR KIDS, INC.
Active
Organization
THERAPYSOURCE FOR KIDS, INC.
Active
Other names
TherapyTown, Communication Builders, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY LEANN QUICK (PRACTICE MANAGER)
(918) 250-7093
Entity
Organization
Contact information
Practice address
3223 E. 31ST ST, TULSA, OK 74105
(918) 250-7093
(918) 250-9976
Mailing address
3223 E. 31ST ST, TULSA, OK 74105
(918) 250-7093
(918) 250-9976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100721380A
—
OK
Enumeration date
02/21/2007
Last updated
09/30/2020
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