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Contact Information

TIM HENSLEE, COTA
1601 ACADEMY ROAD
PONCA CITY, OK74604
 Phone: 580-749-5923
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for TIM HENSLEE · (Male)

NPI # 1043617723
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 11/25/2014
Last updated 11/25/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 114
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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