MEDICARE: AUTUMN HUFFORD 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	2663	OK

General Provider Information

NPI Number	:	1952252504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUTUMN HUFFORD COTA/L

Provider Business Mailing Address
First Line	:	132 BRECKENRIDGE DR
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-9294
Country	:	US
Telephone Number	:	580-799-5991
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 TINKER DIAGONAL
Second Line	:
City	:	DEL CITY
State	:	OK
Zip	:	73115-1017
Country	:	US
Telephone Number	:	405-833-1013
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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