Provider Demographics
NPI:1467244186
Name:DUNKEL, MARIAH CHRISTINE (COTA/L5)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:CHRISTINE
Last Name:DUNKEL
Suffix:
Gender:F
Credentials:COTA/L5
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 QUANNA DR
Mailing Address - Street 2:
Mailing Address - City:FAIRLAND
Mailing Address - State:OK
Mailing Address - Zip Code:74343-1001
Mailing Address - Country:US
Mailing Address - Phone:918-541-5264
Mailing Address - Fax:
Practice Address - Street 1:6 QUANNA DR
Practice Address - Street 2:
Practice Address - City:FAIRLAND
Practice Address - State:OK
Practice Address - Zip Code:74343-1001
Practice Address - Country:US
Practice Address - Phone:918-541-5264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1668208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation