Organization
THERAPY 4 KIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY B GODFREY OTR/L (PRESIDENT/CEO)
(918) 806-1492
Entity
Organization
Contact information
Practice address
5110 S YALE AVE, STE 103, TULSA, OK 74135-7401
(918) 492-2386
(918) 645-8686
Mailing address
5110 S YALE AVE, STE 103, TULSA, OK 74135-7401
(918) 492-2386
(918) 645-8686
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1464
OK
251E00000X
Home Health Agency
—
—
Other
Enumeration date
08/06/2008
Last updated
09/04/2012
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