Individual
MRS. MELODY DUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1824 COMMONS CIR, YUKON, OK 73099-9537
(405) 467-6782
(405) 324-0971
Mailing address
1824 COMMONS CIR, YUKON, OK 73099-9537
(405) 467-6782
(405) 324-0971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1696
OK
2251P0200X
Pediatric Physical Therapist
1696
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100835130A
—
OK
05
—
100835160B
—
OK
Enumeration date
09/20/2006
Last updated
09/19/2024
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