NPI 1194555185

Jacob Ersland, COTAL

Practitioner Occupational Therapy Assistant Midwest City, OK

Practice location

Address: 101 N Post Rd # a, Midwest City, OK 73130-3605
Phone: (405) 397-3550
Mailing address: 1000 Lindsey Ln, Moore, OK 73160-8457

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2638 (OK)

Other Occupational Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1194555185
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2024
Record last updated: 5 Aug 2024

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.