Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kimberly Dawn Shaw, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1417139007

MS. Kimberly Dawn Shaw, COTA/L is an Occupational Therapy Assistant in Stillwater, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

811 E Virginia Ave
Stillwater, OK 74075-7919
Phone: (405) 377-8255
Fax: (405) 835-3920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2002 E Robinson St, Norman, OK 73071-7420 — (405) 307-2814

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 952 (OK)

Record details

NPI number1417139007
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedDecember 5, 2007
Last updated in NPPESMay 2, 2022
Certification dateMay 2, 2022

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