Individual
GERDA ANN CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
326 N UNION AVE, SHAWNEE, OK 74801-7053
(405) 273-0653
Mailing address
326 N UNION AVE, SHAWNEE, OK 74801-7053
(405) 273-0653
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
940
OK
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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