Individual
KATHRYN SCHRECK TARDIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
Mailing address
5375 NE ELK POINT RD, ELGIN, OK 73538-1202
(319) 431-5199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5467
OK
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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