Individual
MICHELLE HEATHER HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4211
Mailing address
1200 CHILDRENS AVE STE 2J, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5319
OK
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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