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NPI Code Detail

MEDICARE: MICHELLE DENISE OAKES O.T.

MEDICARE: MICHELLE DENISE OAKES O.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1313OK

General Provider Information

NPI Number : 1699982157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE DENISE OAKES O.T.
Provider Business Mailing Address
First Line : 1334 HIDDEN VALLEY LN
Second Line :
City : CHOCTAW
State : OK
Zip : 73020-7134
Country : US
Telephone Number : 405-769-0227
Fax Number :
Provider Business Practice Location Address
First Line : 5725 S ROSS AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-5650
Country : US
Telephone Number : 405-681-5787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/19/2007

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