Individual
ROXENE KALTENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
715 N BREWER ST, VINITA, OK 74301-1426
(918) 256-9207
Mailing address
3757 S 4350 RD, WELCH, OK 74369-9661
(918) 788-3631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT689
OK
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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