| Organization Name: | THERAPYTIME PEDIATRICS |
| NPI Number: | 1093838971 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LANETTE RAE DECELLE (PRESIDENT) |
| Mailing Address: | 4157 S Harvard Ave Ste 101 Tulsa |
| State: | OK US |
| Postal Code: | 741352606 |
| Phone Number: | 9187127868 |
| Fax Number: | 9187492901 |
| NPI Enumeration Date: | 04/07/2007 |
| NPI Last Update Date: | 09/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT2077 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |