OrganizationActive
Imagine Pediatric Therapy, PLLC
NPI 1427257013 · Pediatric Occupational Therapist · Owasso, OK
Provider details
- NPI number
- 1427257013
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Sang, Manager(918) 269-4128
- License
- 944 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12899 E 76th St N Unit No117
Owasso, OK 74055-4026
Phone: (918) 609-6003
Fax: (918) 609-6002
Approximate (ZIP-level) locationGet directions
Mailing address
9930 E 510 Rd
Claremore, OK 74019-5103
Registry dates
- Enumerated
- 2007-07-13
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.