Organization
ROWAN & ROBERTSON PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ROWAN CCC-SLP (CO-OWNER)
(580) 678-3320
Entity
Organization
Contact information
Practice address
9201 STATE HIGHWAY 17 STE F, ELGIN, OK 73538-4517
(580) 678-3320
Mailing address
PO BOX 817, ELGIN, OK 73538-0817
(580) 678-3320
(580) 454-9205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200634660A
—
OK
Enumeration date
06/15/2023
Last updated
06/21/2023
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