NPI 1023228517

Joel Brynn Livingston, COTA

Practitioner Occupational Therapy Assistant Lawton, OK

Practice location

Address: 602 SE Wallock St, Lawton, OK 73501-5444
Phone: (580) 355-1512
Fax: (580) 355-1513
Mailing address: 522 E. Evans, Apache, OK 73006

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OA584 (OK)

Other Occupational Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1023228517
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.