NPI 1043077548
Melissa Lynn Peni, COTAL
Practice location
- Address
- 753 NW Fort Sill Blvd, Lawton, OK 73507-5498
- Phone
- (580) 357-6900
- Mailing address
- 3416 NW Atlanta Ave, Lawton, OK 73505-3819
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1043077548
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Mar 2024
- Record last updated
- 1 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.