Individual
MS. SHERRY WHIDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16002 LAKESHORE VILLA DR, TAMPA, FL 33613-1367
(580) 795-3301
(580) 795-7307
Mailing address
105 N 5TH AVE, MADILL, OK 73446-1200
(580) 795-3301
(580) 795-7307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000622
FL
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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