Organization
SENDERO PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY PATIRICIA CANTARELLA M.S., CCC/SLP (OWNER / SLP)
(940) 395-5008
Entity
Organization
Contact information
Practice address
34 N WASHINGTON ST, ARDMORE, OK 73401-7013
(940) 395-5008
Mailing address
1164 LUMBERMAN RD, ARDMORE, OK 73401-8886
(940) 395-5008
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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