IndividualActive
Jaimie Wardlaw, OTA/L
NPI 1275966194 · Environmental Modification Occupational Therapy Assistant · Oklahoma City, OK
Provider details
- NPI number
- 1275966194
- Entity type
- Individual
- Primary specialty
- Environmental Modification Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1233 (OK)
Mailing address
521 N 2nd St
Okeene, OK 73763-9369
Registry dates
- Enumerated
- 2013-08-14
- Last updated
- 2015-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.