Individual
TRISHA A WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9135 PISCATAWAY RD, SUITE 305, CLINTON, MD 20735-2549
(301) 856-4803
(301) 877-2366
Mailing address
PO BOX 419666, BOSTON, MA 02241-9666
(410) 970-8190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05537
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8825 - 0016
CAREFIRST
MD
Enumeration date
09/28/2012
Last updated
04/06/2020
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