Individual
KRISTIN LOIS DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1414 N EASTERN AVE, MOORE, OK 73160-5740
(405) 703-4003
(405) 703-2279
Mailing address
3611 RIVER RIDGE DR, NEWCASTLE, OK 73065-6625
(580) 704-8150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4937
OK
Other
Enumeration date
08/04/2015
Last updated
01/24/2025
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