Organization
KELLY B. TODD CEREBRAL PALSY & NEUROMUSCULAR FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON RIGGS (EXECUTIVE DIRECTOR)
(918) 683-4621
Entity
Organization
Contact information
Practice address
1111 N 36TH ST, MUSKOGEE, OK 74401-1809
(918) 683-4621
(918) 683-4002
Mailing address
PO BOX 2643, MUSKOGEE, OK 74402-2643
(918) 683-4621
(918) 683-4002
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100724240A
—
OK
Enumeration date
08/30/2006
Last updated
09/15/2020
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