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Individual

MELANIE D RIDGWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2307 PARKLAND WAY, NORMAN, OK 73069-6536
(405) 579-2457
(580) 248-2329
Mailing address
2307 PARKLAND WAY, NORMAN, OK 73069-6536
(405) 579-2457
(580) 248-2329

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
728
OK
225XP0200X
Pediatric Occupational Therapist
728
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100639300B
OK
05
100639300C
OK
Enumeration date
10/03/2006
Last updated
05/30/2008
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