| Seabreeze Therapy Services Llc | |
|
2208 W Detroit St Broken Arrow OK 74012-3629 | |
| (918) 808-0092 | |
| (918) 615-6493 |
| Full Name | Seabreeze Therapy Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2208 W Detroit St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Damon Wayne Hutson (CEO) |
| Authorized Official Contact | 9188080092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seabreeze Therapy Services Llc 2208 W Detroit St Broken Arrow OK 74012-3629 Ph: (918) 808-0092 | Seabreeze Therapy Services Llc 2208 W Detroit St Broken Arrow OK 74012-3629 Ph: (918) 808-0092 |
| NPI Number | 1356074165 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356074165 | NPI | - | NPPES |
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