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Organization
MOTOR MOUTH VINITA
Active
Organization
MOTOR MOUTH VINITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN BRUDER (OWNER)
(918) 704-2760
Entity
Organization
Contact information
Practice address
479 S WILSON ST, VINITA, OK 74301-4245
(918) 244-1002
Mailing address
10160 E PORT RD, CATOOSA, OK 74015-6134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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