Individual
DANIELLE WHITTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CLVT
Contact information
Practice address
141 HATHORN RD, COLUMBIA, MS 39429-8503
(601) 916-0450
Mailing address
PO BOX 9736, MISSISSIPPI STATE, MS 39762-9736
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2444
MS
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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