Search › Oklahoma › 103TS0200X
Melissa Otto, PPS
NPI 1447794011 · on the registry since 2016
Practice
- Address
- 12000 N Virginia Ave
Oklahoma City, OK 73120 - Phone
- (405) 835-6757
- Fax
- (405) 213-1628
- Organisation at this address
- Love Grow Live Center, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 3205 Nw 68th St, Oklahoma City, OK
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Also registered as
- 101YP2500X
101YS0200X
101YS0200X
103TS0200X - Licence states on file
- OK, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma