Individual
EMILY MANTOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S BOULEVARD, EDMOND, OK 73034-3878
(405) 285-6765
Mailing address
5908 NW 151ST ST, EDMOND, OK 73013-4186
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3328
OK
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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