Individual
SALLY ANN RAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCCSLP
Contact information
Practice address
2425 S MEMORIAL DR, TULSA, OK 74129-2617
(918) 628-0932
Mailing address
1709 N KINGSTON PL, TULSA, OK 74115-4415
(918) 671-6314
(918) 834-9819
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2200
OK
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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