Individual
MICHELLE ANNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6400 N SANTA FE AVE, OKLAHOMA CITY, OK 73116-9126
(405) 840-2903
Mailing address
4336 SUNTANE RD, DEL CITY, OK 73115
(405) 413-5912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1250
OK
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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