Individual
REBECCA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7201 N CLASSEN BLVD, SUITE 106, OKLAHOMA CITY, OK 73116-7100
(405) 830-1335
Mailing address
7201 N CLASSEN BLVD, SUITE 106, OKLAHOMA CITY, OK 73116-7100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3811
OK
Other
Enumeration date
08/01/2008
Last updated
08/30/2011
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