Provider Demographics
NPI:1073792487
Name:DENTON, CASEY LOUISE (COTA)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:LOUISE
Last Name:DENTON
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 COUNTY STREET 2975
Mailing Address - Street 2:# 23
Mailing Address - City:BLANCHARD
Mailing Address - State:OK
Mailing Address - Zip Code:73010-0905
Mailing Address - Country:US
Mailing Address - Phone:580-450-0059
Mailing Address - Fax:
Practice Address - Street 1:905 COUNTY STREET 2975
Practice Address - Street 2:#23
Practice Address - City:BLANCHARD
Practice Address - State:OK
Practice Address - Zip Code:73010-2975
Practice Address - Country:US
Practice Address - Phone:580-450-0059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant