Healthcare Provider Details

I. General information

NPI: 1023938305
Provider Name (Legal Business Name): ABBYGAIL MAGUIRE COTA/L
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 S FLOOD AVE
NORMAN OK
73069-5463
US

IV. Provider business mailing address

11700 SLAUGHTERVILLE RD
LEXINGTON OK
73051-7410
US

V. Phone/Fax

Practice location:
  • Phone: 405-366-5841
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number3009
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: