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Organization

GINGER WHITLER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINGER WHITLER OT/R (OWNER)
(812) 475-3494
Entity
Organization

Contact information

Practice address
4900 SHAMROCK DR, SUITES 100-102, EVANSVILLE, IN 47715-7325
(812) 475-3494
(812) 475-3494
Mailing address
4900 SHAMROCK DRIVE, SUITES 100-102, EVANSVILLE, IN 47715-7235
(812) 475-3494
(812) 475-3494

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31001782A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200220230B
IN
Enumeration date
09/28/2010
Last updated
09/28/2010
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