Organization
29TH STREET THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA ROUTON M.S. (SPEECH-LANGUAGE PATHOLOGIST)
(405) 568-0019
Entity
Organization
Contact information
Practice address
1211 S 29TH ST, CHICKASHA, OK 73018-9651
(405) 224-0002
(405) 224-0133
Mailing address
1211 S 29TH ST, CHICKASHA, OK 73018-9651
(405) 224-0002
(405) 224-0133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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