Individual
MRS. KATHRYN ELISE CORNELL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
602 W CHISHOLM DR, KINGFISHER, OK 73750-4348
(405) 375-4194
Mailing address
9807 N 2350 RD, WEATHERFORD, OK 73096-4128
(580) 330-2434
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2147
OK
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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