Individual
JODIE FAITH WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2003
(276) 322-5439
Mailing address
227 TANK BRANCH RD, GLEN MORGAN, WV 25813-7509
(304) 673-7768
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001800
VA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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