Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT165 | OK |
NPI | 1083773980 |
---|---|
Provider Name | Mrs. Melanie Ann Trook |
First Address | Tulsa, OK 74136-3302 |
Second Address | Tulsa, OK 74136-3302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 14/06/2010 |