Individual
CHRISTIAN JEAN COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
101 SE 9TH ST, MULDROW, OK 74948-4111
(479) 883-9390
Mailing address
473591 E 1097 RD, MULDROW, OK 74948-7227
(918) 772-8272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
198440
OK
Other
Enumeration date
11/15/2023
Last updated
04/11/2024
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