Organization
EPIPHANY BIRTH SERVICES, LLC
Active
Other names
Epiphany Lactation and Development, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARAH MARILYN ANTOINE-MAYBERRY OT, CLC, DOULA (OWNER)
(405) 473-5745
Entity
Organization
Contact information
Practice address
1745 NW 16TH ST STE A, OKLAHOMA CITY, OK 73106-2078
(405) 473-5745
Mailing address
8416 NW 91ST ST, OKLAHOMA CITY, OK 73132-1108
(405) 473-5745
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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