Provider Demographics
NPI:1851448260
Name:MORGANTI, PAULA (COTA)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:MORGANTI
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 1:305 E FAIRCHILD DR
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-5711
Mailing Address - Country:US
Mailing Address - Phone:125-454-1535
Mailing Address - Fax:
Practice Address - Street 1:305 E FAIRCHILD DR
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-5711
Practice Address - Country:US
Practice Address - Phone:254-541-5359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY64008154224Z00000X
TX209472224Z00000X
OK2233224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant