State Of Oklahoma
Clinic/Center, Rehabilitation in Norman, OK. Organization (NPI-2).
NPI number1609972058
StatusActive
Last updated in NPPESMay 5, 2014
Details
- NPI
- 1609972058
- Entity type
- Organization (NPI-2)
- Legal business name
- State Of Oklahoma
- Organization subpart
- No
- Enumeration date
- Sep 15, 2006
- Last updated
- May 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | 2239 | OK | Yes |
Other names
- D/B/A J D McCarty Center For Children With Developmental Disabilities (Other Name)
Practice location
2002 E Robinson StNorman, OK 73071-7420
Phone 405-307-2800 · Fax 405-307-2801
Mailing address
2002 E Robinson StNorman, OK 73071-7420
Phone 405-307-2800 · Fax 405-307-2801
Authorized official
Victoria Kuestersteffen
Director And Ceo
4053072817
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