Healthcare Provider Details

I. General information

NPI: 1265176234
Provider Name (Legal Business Name): WHITNEY CHIDUBEM OKAFOR OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 04/25/2022
Certification Date: 04/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1371 MAIN ST
HAMILTON OH
45013-1635
US

IV. Provider business mailing address

5935 STONES THROW WAY
LIBERTY TOWNSHIP OH
45044-1505
US

V. Phone/Fax

Practice location:
  • Phone: 513-785-4800
  • Fax:
Mailing address:
  • Phone: 513-205-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT011981
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: