Organization
SPECTRUM THERAPY CENTER, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNA PERSUN OTR (PRESIDENT/ OCCUPATIONAL THERAPIST)
(405) 285-6765
Entity
Organization
Contact information
Practice address
301 S BOULEVARD ST, SUITE 126, EDMOND, OK 73034-3878
(405) 285-6765
(405) 285-5403
Mailing address
301 S BOULEVARD ST, SUITE 126, EDMOND, OK 73034-3878
(405) 285-6765
(405) 285-5403
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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