Individual
KELLY SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
315 S UTICA AVE, TULSA, OK 74104-2203
(918) 594-4787
Mailing address
315 S UTICA AVE, TULSA, OK 74104-2203
(918) 594-4787
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
OK
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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