Gayle Cline, OTR
Individual provider Active NPI Occupational Therapist · Wagoner, OK
NPI 1023345824 · NPPES record last updated Nov 16, 2009
Key facts
- NPI
- 1023345824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT817 (OK)
- Practice address
- 31197 E 683 Dr
Wagoner, OK 74467-6396 - Phone
- (918) 462-0905
- NPI assigned
- Nov 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954 | WY | MD | Clinical Social Worker |
| OT817 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Pain Management of Wyoming, LLC | Past | Accepting new patients | |
| William H and Carrie Gottsche Foundation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT817 | OK | Yes |
Addresses
Primary practice location
31197 E 683 Dr
Wagoner, OK 74467-6396
Mailing address
31197 E 683 Dr
Wagoner, OK 74467-6396
Phone (918) 462-0905
Other providers in Wagoner, OK
- City of Wagoner
- Brenda Gayle Clark
- Michael D Clark
- Sylvia Clark
- Jeremiah Thomas Cleveland
- CMG Family Clinic
- Norma C Cobb
- Harry O Colbert III
- Myrtle L Collins
- Ethan Garret Colwell
All providers in Wagoner, OK · Occupational Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.