Provider Demographics
NPI:1104940188
Name:OAKMAN, JO A (OTR)
Entity type:Individual
Prefix:MS
First Name:JO
Middle Name:A
Last Name:OAKMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 WHITE OAK LN
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-4607
Mailing Address - Country:US
Mailing Address - Phone:281-799-0943
Mailing Address - Fax:
Practice Address - Street 1:715 WHITE OAK LN
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-4607
Practice Address - Country:US
Practice Address - Phone:281-799-0943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109442225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS17-02718OtherTHE KANSAS STATE BOARD OF HEALING ARTS
MO2011008933OtherMISSOURI BOARD OF OCCUPATIONAL THERAPY