Individual
LIANA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E MIDWAY ST, BROKEN ARROW, OK 74012-2633
(918) 259-4440
Mailing address
320 E MIDWAY ST, BROKEN ARROW, OK 74012-2633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OK
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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