Individual
JAMIE DELORIS WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2701 LAKE ALFRED RD, WINTER HAVEN, FL 33881-1432
(863) 298-5000
Mailing address
PO BOX 66, HOMELAND, FL 33847-0066
(863) 221-9617
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9501
FL
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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