Whalio Doctors

NPI 1891940862

Lyndee Black, COTAL

Practitioner Occupational Therapy Assistant Ada, OK

Practice location

Address
430 N Monte Vista St, Ada, OK 74820-4610
Phone
(508) 421-1183
Mailing address
6551 Park of Commerce Blvd, Boca Raton, FL 33487-8218

Registered specialties (4)

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1045 (OK)
Occupational Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA 1747 (CA)
Occupational Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA 03939 (OH)
Occupational Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2005017458 (MO)

Registry record

NPI
1891940862
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Nov 2008
Record last updated
18 Nov 2008

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.