Individual
MRS. PAMELA JILL WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED OTRL
Contact information
Practice address
4157 S HARVARD, SUITE 117 THERAPY TIME, TULSA, OK 74135
(918) 712-7868
(918) 749-2901
Mailing address
8720 E 105TH ST, TULSA, OK 74133
(918) 398-8178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1445
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11553279
AETNA CAQH
—
Enumeration date
09/14/2006
Last updated
07/08/2007
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