Individual
MISS KRISTIN COLE KETCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1417 NW 150TH TER, EDMOND, OK 73013-1525
(405) 831-5893
Mailing address
1417 NW 150TH TER, EDMOND, OK 73013-1525
(405) 831-5893
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
978
OK
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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