Individual
MRS. KRISTINE A SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12899 E 76TH ST N UNIT NO117, OWASSO, OK 74055-4026
(918) 269-4128
(918) 343-7491
Mailing address
12899 E 76TH ST N UNIT NO117, OWASSO, OK 74055-4026
(918) 269-4128
(918) 343-7491
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
735
OK
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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