MEDICARE: BRIANNA JACOBSEN COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	1648	OK

General Provider Information

NPI Number	:	1356719272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA JACOBSEN COTA/L

Provider Business Mailing Address
First Line	:	2654 SW 39TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-3363
Country	:	US
Telephone Number	:	405-882-0042
Fax Number	:

Provider Business Practice Location Address
First Line	:	2654 SW 39TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-3363
Country	:	US
Telephone Number	:	405-882-0042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2015
Last Update Date	:	09/09/2015

Similar Medicare Providers

1013934397 — WAL-MART STORES EAST LP
Practice Location Address:

3200 N RIDGE RD
ELLICOTT CITY, MD
21043-3363

Practice Phone: 410-418-9703
Practice Fax: 410-480-1732

1629178223 — BRIDGET A. BLANDINA O.D.
Practice Location Address:

3200 N RIDGE RD
ELLICOTT CITY, MD
21043-3363

Practice Phone: 410-418-5112
Practice Fax:

1972685857 — WAL-MART STORES EAST, LP
Practice Location Address:

3200 N RIDGE RD
ELLICOTT CITY, MD
21043-3363

Practice Phone: 410-418-5780
Practice Fax:

1295808483 — HAND THERAPY OF ROCKLAND,OT LLP
Practice Location Address:

254 S MAIN STREET , SUITE 400
NEW CITY, NY
10956-3363

Practice Phone: 845-638-2728
Practice Fax: 845-638-1830

1538236187 — DR. JOHN Y SHIM MD
Practice Location Address:

3363 KENNEDY BOULEVARD
JERSEY CITY, NJ
07307

Practice Phone: 201-659-3003
Practice Fax: 201-659-3594

1013034891 — CHETNA KARTIK DESAI D.D.S.
Practice Location Address:

3290 N RIDGE RD , SUITE 180
ELLICOTT CITY, MD
21043-3363

Practice Phone: 410-480-9111
Practice Fax: 410-480-9133

Directions to “ BRIANNA JACOBSEN COTA/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.