Individual
MR. DARRELL JAMES WHITBECK
Active
Individual
MR. DARRELL JAMES WHITBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012505-1
NY
225XN1300X
Neurorehabilitation Occupational Therapist
012505-1
NY
225XP0200X
Pediatric Occupational Therapist
012505-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01635592
—
NY
Enumeration date
12/22/2006
Last updated
12/10/2015
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