Organization
FIREFLY PEDIATRIC CENTER, LLC
Active
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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