Most Relevant Information
Provider Data
| NPI Number: | 1003506825 |
| Provider Name: | CHARITY ANN TODD COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 643 |
Most Important Dates
| Enumeration Date: | 05/15/2023 |
| Last Updated: | 05/15/2023 |
Provider Practice Location
3500 HASKELL BLVD
MUSKOGEE
OK
744033915
Practice Location Phone/Fax
| Phone: | 9183481492 |
| Fax: |
Provider Mailing Location
3500 HASKELL BLVD
MUSKOGEE
OK
744033915
Provider Mailing Phone/Fax
| Phone: | 9183481492 |
| Fax: |