NPI 1043617723

Tim Henslee, COTA

Practitioner Occupational Therapy Assistant Ponca City, OK

Practice location

Address: 1601 Academy Road, Ponca City, OK 74604
Phone: (580) 749-5923
Mailing address: Rt 1 Box 18540, Porum, OK 74455

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 114 (OK)

Other Occupational Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1043617723
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Nov 2014
Record last updated: 25 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.