Organization
HOLLAND PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M HOLLAND SLP (PRESIDENT)
(405) 308-9120
Entity
Organization
Contact information
Practice address
2429 WESTPORT DR, NORMAN, OK 73069-6337
(405) 314-9345
Mailing address
2429 WESTPORT DR, NORMAN, OK 73069-6337
(405) 314-9345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
3846
OK
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200551110B
—
OK
Enumeration date
08/11/2014
Last updated
11/04/2021
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