Kristy R Staten, O.T.

NPI #1518174317 in Sandia Park, New Mexico

Provider Information

NPI Number: 1518174317
Entity Type: Individual
Name: Kristy R Staten, O.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: O.T.
Enumeration Date: May 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 37 ERICKSON RD
City: Sandia Park
State: New Mexico
ZIP Code: 87047-9300
Phone: (505) 281-9605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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