Latitude Learning And Therapy Institute | |
1318 E Independence St Shawnee OK 74804-4137 | |
(405) 275-1801 | |
(866) 347-6279 |
Full Name | Latitude Learning And Therapy Institute |
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Speciality | Speech-language Pathologist |
Location | 1318 E Independence St, Shawnee, Oklahoma |
Authorized Official Name and Position | Kari M Laxson (SPEECH-LANGUAGE PATHOLOGIST) |
Authorized Official Contact | 4052092748 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Latitude Learning And Therapy Institute 1318 E Independence St Shawnee OK 74804-4137 Ph: (405) 275-1801 | Latitude Learning And Therapy Institute 1318 E Independence St Shawnee OK 74804-4137 Ph: (405) 275-1801 |
NPI Number | 1912204454 |
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Provider Enumeration Date | 02/18/2011 |
Last Update Date | 10/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912204454 | NPI | - | NPPES |
200321560A | Medicaid | OK |
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