Healthcare Provider Details

I. General information

NPI: 1841442969
Provider Name (Legal Business Name): REBECCA ANN STOREY-WHITE OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 E 14TH ST STE 104
TULSA OK
74104-4441
US

IV. Provider business mailing address

2300 E 14TH ST STE 104
TULSA OK
74104-4441
US

V. Phone/Fax

Practice location:
  • Phone: 918-982-6800
  • Fax:
Mailing address:
  • Phone: 918-982-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number1696
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: