Individual
BROOKLYN SHAE AQUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 ROSEDALE RD, ADA, OK 74820-9220
(580) 495-8789
Mailing address
9816 COUNTY ROAD 3579, ADA, OK 74820-4724
(918) 752-8989
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2681
OK
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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