Provider Demographics
NPI:1487157897
Name:ALBRIGHT, DONI MICHELLE (OTR/L)
Entity type:Individual
Prefix:
First Name:DONI
Middle Name:MICHELLE
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-3926
Mailing Address - Country:US
Mailing Address - Phone:405-535-2233
Mailing Address - Fax:
Practice Address - Street 1:53 E 12TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3926
Practice Address - Country:US
Practice Address - Phone:405-726-3116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1491225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist