Individual
CHRISTY WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
123 PICKWICK ST, SAVANNAH, TN 38372-1953
(731) 925-6626
Mailing address
225 TENNISON RD APT 1102, MT PLEASANT, TX 75455-9350
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3515
TN
224Z00000X
Occupational Therapy Assistant
3811
MS
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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