Organization
THE SPOT FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA A. PAYNE (MEMBER)
(918) 630-7334
Entity
Organization
Contact information
Practice address
22242 E 63RD ST S, BROKEN ARROW, OK 74014-2009
(918) 630-7334
Mailing address
22242 E 63RD ST S, BROKEN ARROW, OK 74014-2009
(918) 630-7334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2763
OK
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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