Individual
ANDREW WHALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
901 N.HERITAGE DR., SUITE 106, RIDGECREST, CA 93555
(760) 677-8436
(760) 264-4318
Mailing address
602 N EL PRADO DR, RIDGECREST, CA 93555
(760) 793-8641
(760) 264-4318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11349
CA
Other
Enumeration date
08/28/2012
Last updated
01/14/2020
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