Individual
KIMBERLY BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N COLLEGE ST, CORDELL, OK 73632-1822
(580) 832-3371
Mailing address
1400 N COLLEGE ST, CORDELL, OK 73632-1822
(580) 832-3371
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
910
OK
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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