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General NPI Number Information
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NPI Number | 1134077340
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Entity Type | Organization
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Legal Business Name | LOTUS PEDIATRIC THERAPY PLLC
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 15128 TRADITIONS BLVD STE A
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City | EDMOND
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State | OK
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Zip | 73013-1294
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Country | US
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Telephone | 918-424-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 17027 SUNNY HOLLOW RD
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City | EDMOND
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State | OK
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Zip | 73012-6742
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | MRS. REBECCA BROOKE ROBERTS
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Credential | MOTR/L
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Telephone | 918-424-4844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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