Individual
TIMOTHY ADAM WHITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
103 W MAIN ST., MARLOW, OK 73055
(580) 721-7100
(833) 210-5732
Mailing address
PO BOX 831, MADILL, OK 73446-0831
(580) 795-3301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1956
OK
Other
Enumeration date
07/11/2007
Last updated
10/12/2023
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