OU-KHAM CHANSOMBATH

OKLAHOMA CITY, OK
NPI1588391767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  1308)
Enumeration Date2022-08-06
Last Update Date2022-08-06
Business Address
OU-KHAM CHANSOMBATH OTA
309 SW 59TH ST STE 305
OKLAHOMA CITY, OK 73109-8324
Phone number: 405-355-3239
Mailing Address
OU-KHAM CHANSOMBATH OTA
613 WESTWOOD DR
OKLAHOMA CITY, OK 73127-4835
Phone number: 405-408-1437
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