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General NPI Number Information
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NPI Number | 1548124290
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Entity Type | Organization
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Legal Business Name | AWESOME KIDS THERAPY, PLLC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 3149 WELLING RD
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City | EDMOND
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State | OK
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Zip | 73012-9404
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Country | US
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Telephone | 405-696-9173
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Fax |
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Provider Business Mailing Address
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Address Line | 3149 WELLING RD
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City | EDMOND
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State | OK
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Zip | 73012-9404
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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 | OCCUPATIONAL THERAPIST
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Name | MRS. COURTNEY REY AWE
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Credential | MOTR/L
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Telephone | 405-696-9137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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