Provider Demographics
NPI:1700537966
Name:CVIKEL, ASHLEE LYNN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:LYNN
Last Name:CVIKEL
Suffix:
Gender:F
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 1:2474 COUNTY ROAD 1233
Mailing Address - Street 2:
Mailing Address - City:BLANCHARD
Mailing Address - State:OK
Mailing Address - Zip Code:73010-3004
Mailing Address - Country:US
Mailing Address - Phone:405-513-3665
Mailing Address - Fax:
Practice Address - Street 1:2474 COUNTY ROAD 1233
Practice Address - Street 2:
Practice Address - City:BLANCHARD
Practice Address - State:OK
Practice Address - Zip Code:73010-3004
Practice Address - Country:US
Practice Address - Phone:405-513-3665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2333224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant