Healthcare Provider Details

I. General information

NPI: 1114302577
Provider Name (Legal Business Name): TODAY'S THERAPY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 07/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5534 N WESTERN AVE
OKLAHOMA CITY OK
73118-4006
US

IV. Provider business mailing address

5534 N WESTERN AVE
OKLAHOMA CITY OK
73118-4006
US

V. Phone/Fax

Practice location:
  • Phone: 405-286-3749
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1972
License Number StateOK

VIII. Authorized Official

Name: MRS. NICOLE STULL
Title or Position: OFFICE MANAGER
Credential:
Phone: 405-286-3749