Individual
PAIGE ALLYSON GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 W C ST, JENKS, OK 74037-2367
(918) 409-0157
Mailing address
2660 S TRENTON AVE, TULSA, OK 74114-2728
(918) 497-0885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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