Individual
MRS. ELIZABETH MICHELLE LETTE-FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1402 BROOKVIEW DR, ARDMORE, OK 73401-1219
(580) 850-1160
Mailing address
11729 ULLMAN RD, MARIETTA, OK 73448-8618
(580) 319-2660
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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