Chelsea K.Dawn Wood, COTA
Individual provider Active NPI Occupational Therapy Assistant · Lawton, OK
NPI 1366712416 · NPPES record last updated Jan 6, 2012
Key facts
- NPI
- 1366712416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1009 (OK)
- Practice address
- 4121 W Gore Blvd
Lawton, OK 73505-6336 - Phone
- (580) 353-8900
- NPI assigned
- Jan 6, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1009 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gore Therapy Center, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1009 | OK | Yes |
Addresses
Primary practice location
4121 W Gore Blvd
Lawton, OK 73505-6336
Mailing address
4121 W Gore Blvd
Lawton, OK 73505-6336
Phone (580) 353-8900
Other providers in Lawton, OK
- Roxanne Elizabeth Wiseman
- Sarah Wissemeier
- Monica Witherspoon
- Marissa K. Wolford
- Wonder Kids Specialty Pediatrics PLLC
- Matthew Wood
- Paul Wood
- Megan Woodall
- Lillian Woodard
- Louann Woods
All providers in Lawton, OK · Occupational Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2012. 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.