Healthcare Provider Details

I. General information

NPI: 1083260418
Provider Name (Legal Business Name): ESSENTIAL SKILLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 SW A AVE
LAWTON OK
73505-7123
US

IV. Provider business mailing address

2701 SW A AVE
LAWTON OK
73505-7123
US

V. Phone/Fax

Practice location:
  • Phone: 301-332-8009
  • Fax: 580-670-7074
Mailing address:
  • Phone: 301-332-8009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: NANCY L CONTOS
Title or Position: OWNER
Credential: MS, OTR/L
Phone: 301-332-8009