Provider Demographics
NPI:1578710729
Name:MCKOIN, PAIGE REEVES (COTA/L)
Entity type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:REEVES
Last Name:MCKOIN
Suffix:
Gender:
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:PAIGE
Other - Middle Name:D
Other - Last Name:REEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:505 GLENMAR AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5309
Mailing Address - Country:US
Mailing Address - Phone:318-327-8223
Mailing Address - Fax:
Practice Address - Street 1:505 GLENMAR AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5309
Practice Address - Country:US
Practice Address - Phone:318-327-8223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROT-A519224Z00000X
LA220155224Z00000X
LAZ20155224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant