Provider Demographics
NPI:1285841593
Name:NORRIS, MICHELLE MARIE (OT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARIE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13336 WELLS DR.
Mailing Address - Street 2:
Mailing Address - City:SPERRY
Mailing Address - State:OK
Mailing Address - Zip Code:74073-4659
Mailing Address - Country:US
Mailing Address - Phone:918-288-2795
Mailing Address - Fax:800-507-5996
Practice Address - Street 1:13336 WELLS DR.
Practice Address - Street 2:
Practice Address - City:SPERRY
Practice Address - State:OK
Practice Address - Zip Code:74073-4659
Practice Address - Country:US
Practice Address - Phone:918-288-2795
Practice Address - Fax:800-507-5996
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist