NPI 1205414505

Amanda Holsted, COTAL

Practitioner Occupational Therapy Assistant Lawton, OK

Practice location

Address: 753 Ft. Sill Blvd., Lawton, OK 73507-1009
Phone: (580) 357-6900
Mailing address: 413 S Bruce St, Carnegie, OK 73015-9422

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1125 (OK)

Other Occupational Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1205414505
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2021
Record last updated: 30 Mar 2021

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.