Individual
JEROD COTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1401 W PAWNEE ST, CLEVELAND, OK 74020-3033
(918) 358-2501
Mailing address
1401 W PAWNEE ST, CLEVELAND, OK 74020-3033
(918) 358-2501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5419
OK
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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