Brandy Ray Atkins, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Lawton, OK

NPI 1972302164 · NPPES record last updated Mar 10, 2025

Key facts

NPI
1972302164
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1782 (OK)
Practice address
313 NE 48TH St
Lawton, OK 73507-7314
Phone
(580) 512-1347
NPI assigned
Mar 10, 2025
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
1782OKMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1782 OK Yes

Addresses

Primary practice location

313 NE 48TH St
Lawton, OK 73507-7314

Mailing address

313 NE 48TH St
Lawton, OK 73507-7314
Phone (580) 512-1347

Other providers in Lawton, OK

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

Sources for this page

Verify at the official NPI Registry.