Raven Allen, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · McAlester, OK
NPI 1831781269 · NPPES record last updated Feb 8, 2021
Key facts
- NPI
- 1831781269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2073 (OK)
- Practice address
- 101 Oklahoma Ave
McAlester, OK 74501-7520 - Phone
- (918) 421-3935
- NPI assigned
- Feb 8, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2073 | OK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2073 | OK | Yes |
Addresses
Primary practice location
101 Oklahoma Ave
McAlester, OK 74501-7520
Mailing address
101 Oklahoma Ave
McAlester, OK 74501-7520
Phone (918) 421-3935
Other providers in McAlester, OK
- Leslie Theodore Alexander
- Marla Jean Alexander
- Tina Marie Alexander
- Toni D Alford
- All About Family-Private Duty Service, Inc.
- Preston Alltizer
- Alternative Opportunities, Inc
- Jennifer Mahli Kostini Amos Watkins
- Cheyenne Leigh Anderson
- Kennedy Anderson
All providers in McAlester, 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 Feb 8, 2021. 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.