Individual
MELISSA ANN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 BENT TREE DR, MIDWEST CITY, OK 73130-3228
(405) 532-7328
Mailing address
326 BENT TREE DR, MIDWEST CITY, OK 73130-3228
(405) 532-7328
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2626
OK
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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