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Individual

KARIN LYNNE HOLSTED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12201 N. WESTERN AVENUE, OKC, OK 73114
(405) 752-5112
Mailing address
2609 SWEETBRIAR, EDMOND, OK 73034
(405) 476-1919
(888) 239-7983

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
715
OK
225X00000X
Occupational Therapist
Primary
OT715
OK

Other

Enumeration date
04/08/2010
Last updated
09/26/2014
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