Organization
THERAPY TIME PEDIATRICS ST LLC
Active
Other names
Achieve Pediatric Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY ROSS MC CCC-SLP (OWNER)
(918) 798-2116
Entity
Organization
Contact information
Practice address
16 S A AVE UNIT 684, BIXBY, OK 74008-4570
(918) 798-2116
(918) 513-6777
Mailing address
16 S A AVE UNIT 684, BIXBY, OK 74008-4570
(918) 798-2116
(918) 513-6777
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200911010A
—
OK
Enumeration date
06/01/2020
Last updated
03/03/2025
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