Organization
RIVES VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA REAGAN RIVES MS, CCC/SLP (SPEECH PATHOLOGIST)
(918) 747-6727
Entity
Organization
Contact information
Practice address
2544 E 22ND ST, TULSA, OK 74114-3121
(918) 747-6727
Mailing address
2544 E 22ND ST, TULSA, OK 74114-3121
(918) 747-6727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3115
OK
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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