Individual
HANNAH WHITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 STATE ST, LA PORTE, IN 46350-3112
(219) 326-1234
Mailing address
52624 KENILWORTH RD, SOUTH BEND, IN 46637-3015
(563) 271-3095
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007117A
IN
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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