Individual
MS. MICHELLE A HENDRICKSON-OTTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3030 NW EXPRESSWAY STE 809, OKLAHOMA CITY, OK 73112-5466
(405) 917-7160
(405) 917-7161
Mailing address
3030 NW EXPRESSWAY STE 809, OKLAHOMA CITY, OK 73112-5466
(405) 917-7160
(405) 917-7161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
720
OK
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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