Individual
MRS. TARAN MARIE KALTENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1505 E STEVE OWENS BLVD, MIAMI, OK 74354
(918) 542-4101
Mailing address
719 N ADAIR ST, VINITA, OK 74301-1218
(918) 915-0752
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1431
OK
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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