Individual
MELISSA SUE HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1601 ACADEMY RD, PONCA CITY, OK 74604-4409
(877) 787-3430
Mailing address
837 W MOORE AVE, STILLWATER, OK 74075-3319
(918) 724-2671
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1853
OK
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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