Provider Demographics
NPI:1316060130
Name:ASSOCIATED REHABILITATION RESOURCES
Entity type:Organization
Organization Name:ASSOCIATED REHABILITATION RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KAROL
Authorized Official - Middle Name:K
Authorized Official - Last Name:RIDEOUT
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:918-809-3745
Mailing Address - Street 1:724 S NORFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-4418
Mailing Address - Country:US
Mailing Address - Phone:918-809-3745
Mailing Address - Fax:
Practice Address - Street 1:724 S NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-4418
Practice Address - Country:US
Practice Address - Phone:918-809-3745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2908235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty