Individual
MELINDA KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
19982 E REDBUD DR, OWASSO, OK 74055-5851
(918) 798-8303
Mailing address
19982 E REDBUD DR, OWASSO, OK 74055-5851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2567
OK
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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