Individual
KRISTINA BOUREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 N INDEPENDENCE ST STE 802, ENID, OK 73701-4046
(580) 334-1856
(580) 789-9113
Mailing address
302 N INDEPENDENCE ST STE 802, ENID, OK 73701-4046
(580) 334-1856
(580) 789-9113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3699
OK
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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