Individual
RESHICKA MONE' PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 W MEMORIAL RD STE 125, OKLAHOMA CITY, OK 73134-1787
(405) 752-3060
Mailing address
1413 NW 188TH ST, EDMOND, OK 73012-6209
(918) 728-4077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5452
OK
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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