IndividualActive
Brian Lee, COTA/L
NPI 1205002086 · Occupational Therapy Assistant · Mustang, OK
Provider details
- NPI number
- 1205002086
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 912 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
124 S Meadow Ln
Mustang, OK 73064-4124
Phone: (405) 256-6084
Approximate (ZIP-level) locationGet directions
Mailing address
124 S Meadow Ln
Mustang, OK 73064-4124
Registry dates
- Enumerated
- 2008-05-01
- Last updated
- 2008-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.