Individual
REBEKAH LYNN WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
313 S 5TH ST, ODESSA, DE 19730-2078
(302) 284-5810
Mailing address
2451 E PARRIS DR, WILMINGTON, DE 19808-4522
(302) 276-5557
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U20012206
DE
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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