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MRS. DEANDRA L MCDONALD COTAL

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1205139052

Individual Registrant:
MRS. DEANDRA L MCDONALD COTAL
Gender: F
Sole Proprietor

Location and contact information for practice:
622 MCNABB  MOUNDS, OK 74047-0698 US
Tel: 918-261-7740  Fax: --

Contact information for business:
PO BOX 698  MOUNDS, OK 74047-0698 US
Tel: 918-261-7740  Fax: --

Registration Information:
NPI: 1205139052
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
OKOA827

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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