Epiphany Birth Services, LLC
Occupational Therapist, Pediatrics in Oklahoma City, OK. Organization (NPI-2).
NPI number1699242537
StatusActive
Last updated in NPPESOct 29, 2018
Details
- NPI
- 1699242537
- Entity type
- Organization (NPI-2)
- Legal business name
- Epiphany Birth Services, LLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2018
- Last updated
- Oct 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | – | – | Yes |
Other names
- Epiphany Lactation And Development, LLC (Former Legal Business Name)
Practice location
1745 Nw 16th St Ste AOklahoma City, OK 73106-2078
Phone 405-473-5745
Mailing address
8416 Nw 91st StOklahoma City, OK 73132-1108
Phone 405-473-5745
Authorized official
Farah Marilyn Antoine-Mayberry
Owner
4054735745
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