Individual
KELLY DEE RABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6699 WINDRIDGE CIR, LEXINGTON, OK 73051-9468
(405) 974-1412
Mailing address
6699 WINDRIDGE CIR, LEXINGTON, OK 73051-9468
(405) 974-1412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
811
OK
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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