Provider Demographics
NPI:1841442969
Name:STOREY-WHITE, REBECCA ANN (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:STOREY-WHITE
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 E 14TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4441
Mailing Address - Country:US
Mailing Address - Phone:918-982-6800
Mailing Address - Fax:
Practice Address - Street 1:2300 E 14TH ST STE 104
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4441
Practice Address - Country:US
Practice Address - Phone:918-982-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1696225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand