Individual
KHARISSA BOUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 740-0205
Mailing address
1600 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 740-0205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2394
OK
Other
Enumeration date
12/22/2022
Last updated
01/09/2023
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