| Roosevelt Premier Therapy | |
|
1120 N Eastern Ave Ste 108 Moore OK 73160-5856 | |
| (405) 735-7162 | |
| Not Available |
| Full Name | Roosevelt Premier Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1120 N Eastern Ave Ste 108, Moore, Oklahoma |
| Authorized Official Name and Position | Selica Granderson (DIRECTOR) |
| Authorized Official Contact | 6013314463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Premier Therapy Po Box 325 Hutto TX 78634-0325 Ph: (601) 331-4463 | Roosevelt Premier Therapy 1120 N Eastern Ave Ste 108 Moore OK 73160-5856 Ph: (405) 735-7162 |
| NPI Number | 1356188692 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356188692 | NPI | - | NPPES |
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