Individual
PEGGY M KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 MEADOWLARK LN, DURANT, OK 74701-4823
(303) 801-7420
Mailing address
701 MEADOWLARK LN, DURANT, OK 74701-4823
(303) 801-7420
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211562
TX
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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