Individual
MRS. JOANNA MICHELLE BURGTORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
11101 HEFNER POINTE DR., OKC, OK 73120
(405) 720-9812
(405) 720-9815
Mailing address
11101 HEFNER POINTE DR., OKC, OK 73120
(405) 720-9812
(405) 720-9815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2872
OK
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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