Individual
MS. MELISSA C HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
801 NW 63RD ST, OKLAHOMA CITY, OK 73116-7603
(405) 879-9997
(405) 789-3397
Mailing address
508 HOLLOWDALE, EDMOND, OK 73003-3026
(405) 826-6446
(405) 330-6556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2101
OK
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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