Organization
CHILDREN S THERAPY ZONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE HELM (THERAPY MANAGER)
(580) 830-0662
Entity
Organization
Contact information
Practice address
220 VILLAGE CIR, PONCA CITY, OK 74601-4021
(580) 830-0662
Mailing address
220 VILLAGE CIR, PONCA CITY, OK 74601-4021
(580) 830-0662
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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