Individual
MELISSA JEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
825 E KENOSHA ST, BROKEN ARROW, OK 74012-2044
(918) 252-0513
Mailing address
4808 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 712-1182
(918) 712-1067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2919
OK
Other
Enumeration date
05/23/2007
Last updated
02/13/2023
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