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Organization

FIREFLY PEDIATRIC CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA FLYNN (OWNER/PRESIDENT)
(918) 625-1365
Entity
Organization

Contact information

Practice address
2100 N ASPEN AVE, BROKEN ARROW, OK 74012-1490
(918) 505-7575
Mailing address
2100 N ASPEN AVE, BROKEN ARROW, OK 74012-1490
(918) 505-7575
(718) 505-7573

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
07/30/2022
Last updated
02/12/2023
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