Individual
MRS. NINA Y WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
314 S SOUTH ST, SUITE 100, MOUNT AIRY, NC 27030-4491
(336) 719-7129
(336) 719-7396
Mailing address
165 VIRGINIA ST, SUITE # 304, MOUNT AIRY, NC 27030-3866
(336) 416-2959
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6013
NC
Other
Enumeration date
05/04/2009
Last updated
06/11/2015
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