Provider Demographics
NPI:1740411982
Name:BINKLEY, CURTIS LEE JR (COTA/L)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:LEE
Last Name:BINKLEY
Suffix:JR
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 N SAINT PAUL ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-3801
Mailing Address - Country:US
Mailing Address - Phone:866-953-0011
Mailing Address - Fax:
Practice Address - Street 1:1608 STATE ROUTE 183
Practice Address - Street 2:# 30
Practice Address - City:ATWATER
Practice Address - State:OH
Practice Address - Zip Code:44201-9501
Practice Address - Country:US
Practice Address - Phone:330-268-6237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA 03029224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant