Individual
ANDREW L WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12774
MA
225X00000X
Occupational Therapist
OT-1805
HI
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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