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MRS. DEANDRA L MCDONALD COTAL
>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1205139052
Individual Registrant:MRS. DEANDRA L MCDONALD COTAL
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
622 MCNABB MOUNDS, OK 74047-0698 US
Tel: 918-261-7740 Fax: --
Tel: 918-261-7740 Fax: --
Contact information for business:
PO BOX 698 MOUNDS, OK 74047-0698 US
Tel: 918-261-7740 Fax: --
Tel: 918-261-7740 Fax: --
Registration Information:
NPI: 1205139052
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant | OK | OA827 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
