Healthcare Provider Details

I. General information

NPI: 1710806252
Provider Name (Legal Business Name): COURTNEY HARRISON OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

705 26TH AVE NW
NORMAN OK
73069-6367
US

IV. Provider business mailing address

2437 COUNTY ROAD 1263
BLANCHARD OK
73010-3123
US

V. Phone/Fax

Practice location:
  • Phone: 405-308-9120
  • Fax: 405-708-5353
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6511
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: