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Individual

CHRISTY QUALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2917 NW 156TH ST, EDMOND, OK 73013-2101
(405) 607-4440
(405) 607-4495
Mailing address
4141 NW 45TH ST, OKLAHOMA CITY, OK 73112-2427
(405) 205-0192

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1910
OK

Other

Enumeration date
07/21/2014
Last updated
07/21/2014
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