Individual
VIVIANA WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1901 MEDI PARK DR, SUITE 2048, AMARILLO, TX 79106-2110
(806) 353-2101
(806) 353-2674
Mailing address
1901 MEDI PARK DR, SUITE 2048, AMARILLO, TX 79106-2110
(806) 353-2101
(806) 353-2674
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212808
TX
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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