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Spectrum Of Hope, LLC

Clinic/Center, Multi-Specialty in Tulsa, OK. Organization (NPI-2).

NPI number1669983409
StatusActive
Last updated in NPPESJan 10, 2021

Details

NPI
1669983409
Entity type
Organization (NPI-2)
Legal business name
Spectrum Of Hope, LLC
Organization subpart
No
Enumeration date
Oct 19, 2017
Certification date
Jan 10, 2021
Last updated
Jan 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––
225XM0800X Occupational Therapist, Mental Health––
224Z00000X Occupational Therapy Assistant––
225100000X Physical Therapist––
101YM0800X Counselor, Mental Health––
103K00000X Behavior Analyst––
103TC2200X Psychologist, Clinical Child & Adolescent––
103TM1800X Psychologist, Intellectual & Developmental Disabilities––
133V00000X Dietitian, Registered––
133VN1004X Dietitian, Registered, Nutrition, Pediatric––
172V00000X Community Health Worker––

Other names

  • Soaring On Hope Pediatric Therapy And Autism Center (Doing Business As)
  • Soh Kids (Doing Business As)

Practice location

4908 S Sheridan Rd
Tulsa, OK 74145-5712

Phone 918-984-9153

Mailing address

4908 S Sheridan Rd
Tulsa, OK 74145-5712

Phone 918-984-9153

Authorized official

Jonathan Ryan Wedel
Coo
9189849153

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