Individual
MICHELLE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6312 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-1463
(405) 946-6932
Mailing address
4215 TOPAZ CIR, YUKON, OK 73099-0710
(316) 214-6236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1759
OK
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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