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NPI Code Detail

MEDICARE: BILINGUAL PEDIATRIC THERAPIES

MEDICARE: BILINGUAL PEDIATRIC THERAPIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2235Z00000XSpeech-Language Pathologist3548OK

General Provider Information

NPI Number : 1336444884
Entity Type Code : Organization
Provider Name (Legal Business Name) : BILINGUAL PEDIATRIC THERAPIES
Provider Business Mailing Address
First Line : PO BOX 12058
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73157-2058
Country : US
Telephone Number : 405-355-3239
Fax Number : 405-212-4270
Provider Business Practice Location Address
First Line : 2401 NW 23RD ST STE 1C
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-2420
Country : US
Telephone Number : 405-355-3239
Fax Number : 405-212-4270
Authorized Official
Title or Position : CEO
Name : MR. DOUGLAS EDWIN BROWN
Credential :
Telephone Number : 601-624-1237
Provider Enumeration Date : 01/13/2011
Last Update Date : 06/28/2024

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1053829341 — MYRA MARTHA DEMISSIE OTR/L
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Directions to “BILINGUAL PEDIATRIC THERAPIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.