Kimberly Bartlett

Individual provider Active NPI Occupational Therapy Assistant · Cordell, OK

NPI 1679019871 · NPPES record last updated Jan 11, 2017

Key facts

NPI
1679019871
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
910 (OK)
Practice address
1400 N College St
Cordell, OK 73632-1822
Phone
(580) 832-3371
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
No

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
910OKMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 910 OK Yes

Addresses

Primary practice location

1400 N College St
Cordell, OK 73632-1822

Mailing address

1400 N College St
Cordell, OK 73632-1822
Phone (580) 832-3371

Other providers in Cordell, OK

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

Sources for this page

Verify at the official NPI Registry.