Individual
ELIZABETH ANN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
273 STRATFORD WAY, DANVILLE, IN 46122-1347
(317) 919-6719
Mailing address
273 STRATFORD WAY, DANVILLE, IN 46122-1347
(317) 919-6719
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1548877
IN
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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