Individual
KELSEY M WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7101 BAY FRONT DR, ANNAPOLIS, MD 21403-3622
(410) 268-9222
Mailing address
3508 SMITHVILLE DR, DUNKIRK, MD 20754-9664
(732) 674-8972
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02989
MD
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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