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Contact Information

WHITNEY BACCUS, COTA
7608 E 91ST ST
TULSA, OK74133-6014
 Phone: 918-663-0606
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for WHITNEY BACCUS · (Female)

NPI # 1205420395
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 03/01/2021
Last updated 03/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1397
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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