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Contact Information

OK-THERAPLAY
1205 KINGSTON BLVD
EDMOND, OK73034-3227
 Phone: 580-318-9415
 Fax: 405-999-4998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for OK-THERAPLAY

NPI Number 1770166779
LBN Legal business name OK-THERAPLAY
Authorized official KORTNEI GUTIERREZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/28/2021
Last updated 04/28/2021 - About 5 years ago
Identifiers
OK Medicaid 1609488238
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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