Individual
JOHN WHITHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
721 DALY ST, PHILADELPHIA, PA 19148-3247
(267) 225-7775
Mailing address
721 DALY ST, PHILADELPHIA, PA 19148-3247
(267) 225-7775
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014305
PA
Other
Enumeration date
09/15/2020
Last updated
09/16/2020
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