Individual
FAITH WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
606 NE 7TH ST # 463-7101, TRENTON, FL 32693-3636
(352) 463-7101
Mailing address
427 SW 4TH AVE, TRENTON, FL 32693-4246
(818) 220-6405
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17053
FL
Other
Enumeration date
02/28/2019
Last updated
08/09/2021
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