Individual
MRS. MELISSA L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2121 S COLUMBIA AVE STE LL6, TULSA, OK 74114-3510
(918) 895-7222
(918) 895-7223
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 927-3226
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5398
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200733400A
—
OK
Enumeration date
09/10/2017
Last updated
05/23/2022
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