Individual
VISANI COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5350 S WESTERN AVE, 525, OKLAHOMA CITY, OK 73109-4520
(405) 355-3239
Mailing address
5350 S WESTERN AVE, 525, OKLAHOMA CITY, OK 73109-4520
(405) 355-3239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
853
PR
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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