Individual
BRANDY LYNNE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2000 168TH AVE NE, NORMAN, OK 73026-9010
(405) 579-2959
Mailing address
430 NW 12TH ST APT 101, OKLAHOMA CITY, OK 73103-3736
(918) 759-8303
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009
LICENSE
OK
Enumeration date
01/15/2021
Last updated
11/09/2025
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