Individual
MRS. HEATHER BROOKE WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12060 ETRIS RD STE F100, ROSWELL, GA 30075-1470
(770) 998-9599
Mailing address
202 S VILLAGE SQ, CANTON, GA 30115-1861
(770) 998-9599
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002362
GA
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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