Individual
KRISTINE Z FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
921 NE 21ST ST, OKLAHOMA CITY, OK 73105-8215
(405) 456-3494
Mailing address
608 REDVINE RD, EDMOND, OK 73034-4236
(405) 921-6852
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
441
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44245
CERTIFIED RECREATION THERAPIST
—
Enumeration date
11/19/2020
Last updated
11/19/2020
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