Organization
ITHERAPY, P.L.L.C.
Active
Organization
ITHERAPY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALETHEA SHRUM MS, OTR/L (OWNER)
(918) 810-3067
Entity
Organization
Contact information
Practice address
2429 S IRVINGTON AVE, TULSA, OK 74114-3821
(918) 808-9749
(918) 794-5216
Mailing address
2429 S IRVINGTON AVE, TULSA, OK 74114-3821
(918) 794-5216
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1731
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200341200B
—
OK
Enumeration date
05/22/2012
Last updated
05/22/2012
Update your record
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