Individual
MS. KATHLEEN DIMOND-KERSGIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
(405) 553-1501
Mailing address
1404 CARRICK CT, EDMOND, OK 73034-3309
(405) 341-3633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2406
OK
Other
Enumeration date
01/17/2009
Last updated
01/17/2009
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