Provider Demographics
NPI:1356933675
Name:AULNER, CAROL (COTA)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:AULNER
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 1:2206 S SANTA FE AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2859
Mailing Address - Country:US
Mailing Address - Phone:405-862-6065
Mailing Address - Fax:405-931-0016
Practice Address - Street 1:2206 S SANTA FE AVE APT 206
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2859
Practice Address - Country:US
Practice Address - Phone:405-822-4452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
OK2184224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician