Healthcare Provider Details

I. General information

NPI: 1871050385
Provider Name (Legal Business Name): SABRINA PAIGE COTHRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SABRINA PAIGE BARGER

II. Dates (important events)

Enumeration Date: 02/21/2019
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 E SILAS ST
BARTLESVILLE OK
74003-3611
US

IV. Provider business mailing address

417 E SILAS ST
BARTLESVILLE OK
74003-3611
US

V. Phone/Fax

Practice location:
  • Phone: 918-337-6050
  • Fax:
Mailing address:
  • Phone: 918-337-6050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: