Individual
MELISSA LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1071 W. BLUE STARR DR. #101, CLAREMORE, OK 74017
(918) 341-4343
Mailing address
1071 W. BLUE STARR DR. #101, CLAREMORE, OK 74017
(918) 341-4343
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019
OK
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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