Individual
MELISSA RAE ANCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 S ACADEMY RD, GUTHRIE, OK 73044-8727
(405) 260-4213
(405) 260-4261
Mailing address
PO BOX 1017, GUTHRIE, OK 73044-1017
(405) 260-4213
(405) 260-4261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2526
OK
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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