Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tanicia Whiteside, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1962878769

Tanicia Whiteside, COTA/L is an Occupational Therapy Assistant in Shelby Township, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

13794 21 Mile Rd
Shelby Township, MI 48315-4854
Phone: (586) 532-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202006157 (MI)

Record details

NPI number1962878769
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedAugust 15, 2015
Last updated in NPPESAugust 15, 2015

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