Individual provider · Type 1 NPI

Jordan Medlock, COTA/L

Occupational Therapy Assistant · Altus, OK

NPI number 1407398795 Active

Practice location

1200 E Pecan St
Altus, OK 73521-6141

Call (580) 379-5000 Map

Mailing address

809 Rosehaven Dr
Altus, OK 73521-4923

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1793 (OK)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1407398795

Jordan Medlock, COTA/L's National Provider Identifier is 1407398795, issued on Nov 17, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Altus, OK. The record was last updated on Nov 17, 2016.