Individual
RYLIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
(405) 202-8047
Mailing address
2728 CAMBRIDGE CT, OKLAHOMA CITY, OK 73116-4404
(405) 202-8047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5393
OK
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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