Individual
KRISTINE GRUNEWALD SIEGENTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL/CHT/CLT
Contact information
Practice address
114 W 7TH ST, OKMULGEE, OK 74447
(918) 756-3330
(918) 756-3332
Mailing address
114 W 7TH ST, OKMULGEE, OK 74447-5052
(918) 756-3330
(918) 756-3332
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 735
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100645450B
—
OK
Enumeration date
02/23/2006
Last updated
10/29/2018
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