Individual
KRISTIN RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1500 SW 104TH ST, SUITE 102, OKLAHOMA CITY, OK 73159-7661
(405) 735-6222
Mailing address
605 EASTRIDGE DR, YUKON, OK 73099-0901
(626) 233-8160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4502
OK
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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