Healthcare Provider Details

I. General information

NPI: 1487581278
Provider Name (Legal Business Name): RASHONDA KAMILLE BARNES COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12400 S HIWASSEE RD
OKLAHOMA CITY OK
73165-7681
US

IV. Provider business mailing address

12400 S HIWASSEE RD STE 800
OKLAHOMA CITY OK
73165-7681
US

V. Phone/Fax

Practice location:
  • Phone: 405-922-1270
  • Fax:
Mailing address:
  • Phone: 405-922-1270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number2789
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: