Organization Name: | 1ST CHOICE THERAPY |
NPI Number: | 1114248341 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY CARLETTI (PRESIDENT) |
Mailing Address: | 12120 S 2nd St Jenks |
State: | OK US |
Postal Code: | 740372857 |
Phone Number: | 9188089749 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2010 |
NPI Last Update Date: | 06/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |