Individual
MR. CODY LYNN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA L
Contact information
Practice address
3327 NW 50TH ST, OKLAHOMA CITY, OK 73112-5627
(405) 946-7300
(405) 946-7306
Mailing address
3020 SW 89TH ST, APT. L, OKLAHOMA CITY, OK 73159-6336
(405) 323-1947
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA834
OK
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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