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NPI Code Detail

MEDICARE: COURTNEY AWE MOTR/L

MEDICARE: COURTNEY AWE MOTR/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
1225X00000XOccupational Therapist5424OK

General Provider Information

NPI Number : 1366075897
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY AWE MOTR/L
Provider Business Mailing Address
First Line : 3149 WELLING RD
Second Line :
City : EDMOND
State : OK
Zip : 73012-9404
Country : US
Telephone Number : 405-696-9137
Fax Number : 405-888-8764
Provider Business Practice Location Address
First Line : 501 S COLTRANE RD STE A
Second Line :
City : EDMOND
State : OK
Zip : 73034-6729
Country : US
Telephone Number : 580-318-9415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2020
Last Update Date : 05/15/2026

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Directions to “ COURTNEY AWE MOTR/L” Practice Location

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