Individual
TORRIE MORETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2552 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 893-3735
Mailing address
2552 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083037956
—
OK
Enumeration date
03/25/2015
Last updated
03/25/2015
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