Provider Demographics
NPI:1225623861
Name:FRANKLIN, KAMI (COTA/L)
Entity Type:Individual
Prefix:
First Name:KAMI
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:KAMBREA
Other - Middle Name:
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:30056 COUNTY STREET 2620
Mailing Address - Street 2:
Mailing Address - City:GRACEMONT
Mailing Address - State:OK
Mailing Address - Zip Code:73042-9561
Mailing Address - Country:US
Mailing Address - Phone:405-933-1582
Mailing Address - Fax:
Practice Address - Street 1:1602 NW HORTON BLVD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-2934
Practice Address - Country:US
Practice Address - Phone:580-353-7107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1544224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant