Individual
MICHELLE DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 S WESTERN RD, STILLWATER, OK 74074-5151
(843) 530-5682
Mailing address
920 S MURPHY ST APT 8101, STILLWATER, OK 74074-1755
(843) 530-5682
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2472
OK
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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