NPI 1770166779

Ok-Theraplay

Organisation Early Intervention Provider Agency Edmond, OK

Practice location

Address: 1205 Kingston Blvd, Edmond, OK 73034-3227
Phone: (580) 318-9415
Fax: (405) 999-4998

Authorised official

Name: Kortnei Diane Gutierrez
Title: Owner
Phone: (580) 318-9415

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Oklahoma →

Registry record

NPI: 1770166779
Entity type: Organization
NPI issued: 28 Apr 2021
Record last updated: 28 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.