MEDICARE: ADDISON JANE SCHWEIZER-CHILCOAT COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	2237	OK

General Provider Information

NPI Number	:	1093304339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADDISON JANE SCHWEIZER-CHILCOAT COTA/L

Provider Business Mailing Address
First Line	:	5110 S YALE AVE STE 102
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-7438
Country	:	US
Telephone Number	:	918-492-2386
Fax Number	:	918-645-8686

Provider Business Practice Location Address
First Line	:	5110 S YALE AVE STE 102
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-7438
Country	:	US
Telephone Number	:	918-492-2386
Fax Number	:	918-645-8686

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2021
Last Update Date	:	10/16/2024

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Directions to “ ADDISON JANE SCHWEIZER-CHILCOAT COTA/L” Practice Location

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