Organization
FOUR STATE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MURPHY SLP (PRESIDENT)
(918) 286-1261
Entity
Organization
Contact information
Practice address
2208 N YELLOWOOD AVE, BROKEN ARROW, OK 74012-9102
(918) 286-1261
(918) 286-1265
Mailing address
2208 N YELLOWOOD AVE, BROKEN ARROW, OK 74012-9102
(918) 286-1261
(918) 286-1265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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