Individual
COURTNEY WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
1813 KINGSLEY DR, ANDERSON, IN 46011-1015
(765) 635-3754
Mailing address
1813 KINGSLEY DR, ANDERSON, IN 46011-1015
(765) 635-3754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004619A
IN
Other
Enumeration date
06/17/2011
Last updated
09/20/2021
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