Individual
MICHELLE L PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 332-3349
Mailing address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 332-3349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
542
OK
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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