Provider Demographics
NPI:1427393818
Name:STOLINSKI, BENJAMIN (OTR)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:STOLINSKI
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8506 E 61ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1916
Mailing Address - Country:US
Mailing Address - Phone:918-357-4321
Mailing Address - Fax:918-357-6038
Practice Address - Street 1:8506 E 61ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-1916
Practice Address - Country:US
Practice Address - Phone:918-357-4321
Practice Address - Fax:918-357-6038
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTA737224Z00000X
OK1293224Z00000X
OK5282225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant