Organization
EDUCATIONAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ANNE ALEXANDER M.A., C.C.C. (PRESIDENT)
(918) 455-3859
Entity
Organization
Contact information
Practice address
708 W FREEPORT ST, BROKEN ARROW, OK 74012-2405
(918) 455-3859
(918) 455-3860
Mailing address
708 W FREEPORT ST, BROKEN ARROW, OK 74012-2405
(918) 455-3859
(918) 455-3860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
366
OK
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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