IndividualActive
Jacqueline Mccoy, COTA/L
NPI 1982293015 · Pediatric Occupational Therapist · Tulsa, OK
Provider details
- NPI number
- 1982293015
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 1603 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4157 S Harvard Ave Ste 117
Tulsa, OK 74135-2606
Phone: (918) 712-6878
Fax: (918) 878-7920
Approximate (ZIP-level) locationGet directions
Mailing address
4157 S Harvard Ave Ste 117
Tulsa, OK 74135-2606
Registry dates
- Enumerated
- 2021-01-13
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.