Most Relevant Information
Provider Data
| NPI Number: | 1003542028 |
| Provider Name: | MICHELLE L PLUMMER COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 542 |
Most Important Dates
| Enumeration Date: | 08/01/2022 |
| Last Updated: | 08/01/2022 |
Provider Practice Location
430 N MONTE VISTA ST
ADA
OK
748204610
Practice Location Phone/Fax
| Phone: | 5803323349 |
| Fax: |
Provider Mailing Location
430 N MONTE VISTA ST
ADA
OK
748204610
Provider Mailing Phone/Fax
| Phone: | 5803323349 |
| Fax: |