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Intentional Lives Therapy
Pediatric Physical Therapist in Edmond, Oklahoma
NPI 1518604966

Intentional Lives Therapy is a Pediatric Physical Therapist based in Edmond, OK and is specialized in Pediatrics. Intentional Lives Therapy practices in Edmond, OK. The NPI Number for Intentional Lives Therapy is 1518604966 and holds a License No. (Oklahoma).

The current practice location address for Intentional Lives Therapy is 3700 Derby Run Dr, Edmond, OK and can be reached out via phone at 405-590-7127.

Location: 3700 Derby Run Dr, Edmond, OK, 73034-2625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518604966
Provider Name
Intentional Lives Therapy
Credential
Provider Entity Type
Organization
Address
3700 Derby Run Dr, Edmond, OK, 73034-2625
Phone Number
405-590-7127
Fax Number
Provider Enumeration Date
05/17/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3700 Derby Run Dr
City
Edmond
State
Oklahoma
Zip
73034-2625
Phone Number
405-590-7127
Fax Number
person
Provider Business Mailing Address Details
Address
3700 Derby Run Dr
City
Edmond
State
Oklahoma
Zip
73034-2625
Phone Number
405-590-7127
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
()
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
()
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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