Healthcare Provider Details

I. General information

NPI: 1083773980
Provider Name (Legal Business Name): MELANIE ANN TROOK OTRL, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE ANN WEBER OTRL, CHT

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 06/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 S YALE AVE SUITE B
TULSA OK
74136-3302
US

IV. Provider business mailing address

6767 S YALE AVE SUITE B
TULSA OK
74136-3302
US

V. Phone/Fax

Practice location:
  • Phone: 918-494-3000
  • Fax: 918-494-0003
Mailing address:
  • Phone: 918-494-3000
  • Fax: 918-494-0003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT165
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: