Samantha Mendoza, COTA/L
Occupational Therapy Assistant in Edmond, OK. Individual provider (NPI-1).
NPI number1295413896
StatusActive
Last updated in NPPESJul 5, 2023
Details
- NPI
- 1295413896
- Entity type
- Individual (NPI-1)
- Name
- Samantha Mendoza
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2023
- Certification date
- Jul 5, 2023
- Last updated
- Jul 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 2503 | OK | Yes |
Practice location
14715 Bristol Park BlvdEdmond, OK 73013-1894
Phone 405-840-1686
Mailing address
14715 Bristol Park BlvdEdmond, OK 73013-1894
Phone 405-840-1686
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All 42 Occupational Therapy Assistant providers in Edmond · All 5,217 providers in Edmond
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