Organization
FUNDAMENTALS THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI CHILDERS BCBA (OWNER)
(580) 220-9703
Entity
Organization
Contact information
Practice address
1402 BROOKVIEW DR, ARDMORE, OK 73401-1219
(580) 850-1160
Mailing address
1402 BROOKVIEW DR, ARDMORE, OK 73401-1219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/10/2025
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