Doctor Name: | MELINDA AGARAN SOTO |
NPI Number: | 1093836694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, RN, CWS |
License Number: | OK 1617 |
Business Practice Address: | 1900 N 14th St Ponca City, OK - 746012035 |
Business Phone Number: | 5807650518 |
Business Fax Number: | 5807650203 |
Mailing Address: | 2700 Meadow Ln, PONCA CITY |
State: | OK |
Postal Code: | 746042018 |
Phone Number: | 5807626009 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | OK 1617 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |