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Contact Information

ROOSEVELT PREMIER THERAPY
1120 N EASTERN AVE STE 108
MOORE, OK73160-5856
 Phone: 405-735-7162
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Art Therapist

221700000X
 

Developmental Therapist

222Q00000X
 

Mental Health

101YM0800X
 

Music Therapist

225A00000X
 

Nutrition, Education

133NN1002X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Recreation Therapist

225800000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ROOSEVELT PREMIER THERAPY · (Female)

NPI # 1356188692
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2024
Last updated 07/15/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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