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Organization
NORTH DFW PEDIATRIC THERAPY LLC
Active
Organization
NORTH DFW PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ECKART (CREDENTIALING SPECIALIST)
(405) 247-0285
Entity
Organization
Contact information
Practice address
4334 NW EXPRESSWAY STE 187, OKLAHOMA CITY, OK 73116-1515
(405) 247-0285
Mailing address
4334 NW EXPRESSWAY STE 187, OKLAHOMA CITY, OK 73116-1515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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