Individual
MRS. MICHELLE DAWN MELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
6803 S WESTERN AVE, SUITE 300, OKLAHOMA CITY, OK 73139-1808
(405) 602-3213
Mailing address
1525 GLENCLIFF DR, NORMAN, OK 73071-3209
(405) 426-7442
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/20/2013
Last updated
02/02/2013
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