Individual
CHRISSY CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1205 KINGSTON BLVD, EDMOND, OK 73034-3227
(580) 318-9415
(405) 999-4998
Mailing address
PO BOX 175, TIPTON, OK 73570-0175
(405) 655-0780
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1873
OK
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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