Organization
MELODY THOMASON, PT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY RONNAE THOMASON PT, ATP (PHYSICAL THERAPIST)
(405) 517-8387
Entity
Organization
Contact information
Practice address
6108 NW 63RD ST STE B, OKLAHOMA CITY, OK 73132-7553
(405) 605-1466
(405) 605-1467
Mailing address
PO BOX 12036, OKLAHOMA CITY, OK 73157-2036
(405) 605-1466
(405) 605-1467
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1696
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100835160B
—
OK
Enumeration date
02/08/2011
Last updated
02/08/2011
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