Deanna Fay Vann-Vest, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Roland, OK

NPI 1346829264 · NPPES record last updated Apr 7, 2021

Key facts

NPI
1346829264
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2293 (OK)
Practice address
300 Ranger Blvd
Roland, OK 74954-4040
Phone
(918) 427-5993
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2293OKMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
224Z00000X 2293 OK Yes

Addresses

Primary practice location

300 Ranger Blvd
Roland, OK 74954-4040

Mailing address

110379 S 4750 Rd
Muldrow, OK 74948-5980
Phone (479) 652-4577

Other practice location 1

101 S Main St
Muldrow, OK 74948
Phone (918) 427-3316

Other providers in Roland, OK

All providers in Roland, OK · Occupational Therapy Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.