Individual
WHITNEY HAVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
619 SE STALLINGS DR, NACOGDOCHES, TX 75964-7208
(936) 564-5511
Mailing address
1806 MARTIN LUTHER KING JR BLVD, LUFKIN, TX 75904-1226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/04/2018
Last updated
03/17/2018
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