Individual
DOUGLAS JAMES WHITTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
330 9TH ST APT 2, BROOKLYN, NY 11215-4026
(171) 843-5312
Mailing address
357 CORTELYOU AVE, STATEN ISLAND, NY 10312-2404
(718) 213-0730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027252
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027252
NYS EDUCATION DEPARTMENT
NY
Enumeration date
11/15/2022
Last updated
11/15/2022
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