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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JORDAN MEDLOCK, COTA/L

Active

MRS. JORDAN MEDLOCK, COTA/L is a Occupational Therapy Assistant healthcare provider located in ALTUS, Oklahoma. NPI 1407398795 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · ALTUS, OK

Registration Details

NPI Number
1407398795
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2016 (9.698147778098 yrs)
Last Updated
Nov 17, 2016
License
1793 (OK)

Practice Information

Address
1200 E PECAN ST
ALTUS, OK, 735216141
Browse OK providers · Browse ZIP 73521
Phone
5803795000
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in ALTUS, OK

Name Credential NPI
ASHLEY DANIELLE PERKINS COTA 1801017942
HERMINE CARRELL NICHOLS COTA 1780897231
MRS. KARNA ROBYN PARKER COTA 1285848663
MRS. REBECCA SNYDER COTA 1962828228
NICHOLE LYNN SHAW OTA 1598207888
MRS. KRISTINA NICOLE CALONGE COTA/L 1962033837
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.