Individual
NICOLE PAYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
308 E 13TH ST, EDMOND, OK 73034-4722
(405) 623-4073
Mailing address
308 E 13TH ST, EDMOND, OK 73034-4722
(405) 623-4073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1557
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200205810A
—
OK
Enumeration date
08/08/2008
Last updated
01/26/2026
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