Individual
MRS. REBECCA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
303 N BROADWAY, COWETA, OK 74429-2605
(918) 486-2130
Mailing address
3624 E AURORA ST, BROKEN ARROW, OK 74014-1758
(918) 850-0776
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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