Provider Demographics
NPI:1922878644
Name:DOBBS, WHITNEY ELLIS (OTD)
Entity Type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:ELLIS
Last Name:DOBBS
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458442 E 1040 RD
Mailing Address - Street 2:
Mailing Address - City:VIAN
Mailing Address - State:OK
Mailing Address - Zip Code:74962-5255
Mailing Address - Country:US
Mailing Address - Phone:918-208-5814
Mailing Address - Fax:
Practice Address - Street 1:458442 E 1040 RD
Practice Address - Street 2:
Practice Address - City:VIAN
Practice Address - State:OK
Practice Address - Zip Code:74962-5255
Practice Address - Country:US
Practice Address - Phone:918-208-5814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR3898225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist