| Soaring On Hope Pediatric Therapy And Autism Center | |
|
4908 S Sheridan Rd Tulsa OK 74145-5712 | |
| (918) 984-9153 | |
| Not Available |
| Full Name | Soaring On Hope Pediatric Therapy And Autism Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4908 S Sheridan Rd, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jonathan Ryan Wedel (COO) |
| Authorized Official Contact | 9189849153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soaring On Hope Pediatric Therapy And Autism Center 4908 S Sheridan Rd Tulsa OK 74145-5712 Ph: (918) 984-9153 | Soaring On Hope Pediatric Therapy And Autism Center 4908 S Sheridan Rd Tulsa OK 74145-5712 Ph: (918) 984-9153 |
| NPI Number | 1669983409 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 01/10/2021 |
| Certification Date | 01/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669983409 | NPI | - | NPPES |
| 200745940 | Medicaid | OK |
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