Individual
TIANA KASHIRA WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2240
(919) 622-4198
Mailing address
109 SAWYER CT, WENDELL, NC 27591-7479
(919) 622-4198
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18325
NC
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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