Organization
KRISTEN SMITH AND ASSOCIATES PLLC
Active
Organization
KRISTEN SMITH AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN SMITH OTD, OTR/L (BUSINESS OWNER AND PRACTITIONER)
(405) 388-8545
Entity
Organization
Contact information
Practice address
309 NW 144TH ST, EDMOND, OK 73013-2411
(405) 388-8545
(888) 606-5313
Mailing address
309 NW 144TH ST, EDMOND, OK 73013-2411
(405) 388-8545
(888) 606-5313
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2003
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200616360A
—
OK
Enumeration date
02/08/2017
Last updated
02/08/2017
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