Individual
KRISTINA THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CBIS
Contact information
Practice address
700 S TELEPHONE RD, MOORE, OK 73160-2550
(405) 912-3005
Mailing address
13604 LEGACY CT, OKLAHOMA CITY, OK 73170-5001
(405) 501-7382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5091
OK
Other
Enumeration date
02/06/2023
Last updated
03/09/2023
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