Healthcare Provider Details

I. General information

NPI: 1528407533
Provider Name (Legal Business Name): GESINE JOSY AKANA JIOTSA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2013
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 WILSON ST
FORT SILL OK
73503-4472
US

IV. Provider business mailing address

3501 E GORE BLVD APT 1238
LAWTON OK
73501-6834
US

V. Phone/Fax

Practice location:
  • Phone: 580-558-2500
  • Fax:
Mailing address:
  • Phone: 240-595-8172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number124259
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: