Organization
THERAPYSOURCE FOR KIDS, INC.
Active
Other names
TherapyTown, Communication Builders, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY LEANN QUICK (PRACTICE MANAGER)
(918) 250-7093
Entity
Organization
Contact information
Practice address
3223 E. 31ST ST, TULSA, OK 74105
(918) 250-7093
(918) 250-9976
Mailing address
3223 E. 31ST ST, TULSA, OK 74105
(918) 250-7093
(918) 250-9976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100721380A
—
OK
Enumeration date
02/21/2007
Last updated
09/30/2020
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