Individual
MRS. KRISTEN RUTH MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L.
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
Mailing address
626 E GRAY ST, NORMAN, OK 73071-5637
(405) 974-0259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2038
OK
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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