Healthcare Provider Details

I. General information

NPI: 1790734358
Provider Name (Legal Business Name): QUALITY OCCUPATIONAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8827 E RENO AVE SUITE 201
MIDWEST CITY OK
73110-7732
US

IV. Provider business mailing address

PO BOX 197
HARRAH OK
73045-0197
US

V. Phone/Fax

Practice location:
  • Phone: 405-610-3048
  • Fax: 405-610-3049
Mailing address:
  • Phone: 405-610-3048
  • Fax: 405-610-3049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3570
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT999
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2631
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3070
License Number StateOK

VIII. Authorized Official

Name: MRS. JENNIFER LYNNE HOLLEMAN
Title or Position: OTR/ OWNER
Credential: OTR
Phone: 405-610-3048