MEDICARE: CHRISTI AN TOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	6170	OK

General Provider Information

NPI Number	:	1073473534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTI AN TOM

Provider Business Mailing Address
First Line	:	2524 S TOLEDO AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74114-4834
Country	:	US
Telephone Number	:	918-638-8085
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E CHARLES PAGE BLVD
Second Line	:
City	:	SAND SPRINGS
State	:	OK
Zip	:	74063-8508
Country	:	US
Telephone Number	:	918-504-8669
Fax Number	:	918-512-4773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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Directions to “ CHRISTI AN TOM ” Practice Location

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