Individual
MRS. TERI TIRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 CHUCKWA DR, DURANT, OK 74701-2623
(580) 924-8579
(580) 745-9357
Mailing address
3770 E 81ST PL, TULSA, OK 74137-1601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3487
OK
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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