# CHILDREN S THERAPY ZONE LLC

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

## Provider details

- **NPI number:** 1679172951
- **Authorized official:** JESSICA MARIE HELM (THERAPY MANAGER)
- **Authorized official phone:** (580) 830-0662

## Contact information

- **Practice address:** 220 VILLAGE CIR, PONCA CITY, OK 74601-4021
- **Practice address phone:** (580) 830-0662
- **Mailing address:** 220 VILLAGE CIR, PONCA CITY, OK 74601-4021
- **Mailing address phone:** (580) 830-0662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 10/19/2020
- **Last updated:** 10/19/2020