Organization
GO2THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEON NASR (CEO)
(918) 641-4299
Entity
Organization
Contact information
Practice address
6931 E 31ST STREET, UNIT 31, TULSA, OK 74129
(918) 641-4299
(918) 917-9179
Mailing address
6941 E 9TH ST UNIT 31, TULSA, OK 74112-4605
(918) 694-0391
(918) 917-9179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
175F00000X
Naturopath
—
—
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
4163
OK
235Z00000X
Speech-Language Pathologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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