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Individual

MS. KRISTINA ANN EDIGER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
2501 MERCER DR, ENID, OK 73701-8602
(580) 233-0666
(580) 249-5999
Mailing address
602 DEER RUN, ENID, OK 73703-3426
(580) 237-5711
(580) 249-5999

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
639
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
639
PT LICENSE NUMBER
OK
Enumeration date
05/08/2006
Last updated
07/08/2007
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