Organization
OK PEDS PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEIRRA LEWELLING M.S. CCC-SLP/L (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(405) 659-6390
Entity
Organization
Contact information
Practice address
7301 S HARRAH RD, NEWALLA, OK 74857-7912
(405) 659-6390
(855) 933-0242
Mailing address
7301 S HARRAH RD, NEWALLA, OK 74857-7912
(405) 659-6390
(855) 933-0242
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200769930A
—
OK
Enumeration date
09/20/2019
Last updated
09/20/2019
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