Individual
MRS. KRISTINA NICOLE CALONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5820
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2116
OK
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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