Individual
BRENDA KAY MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
605 N 5TH ST, MARLOW, OK 73055
(405) 207-1106
Mailing address
605 N 5TH ST, MARLOW, OK 73055
(405) 207-1106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1753
OK
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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