Individual
MRS. CARLA CATHLEEN LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
Mailing address
13313 S 68TH EAST AVE, BIXBY, OK 74008-8266
(918) 605-4532
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
943
OK
Other
Enumeration date
09/01/2011
Last updated
05/18/2016
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