Individual
CARRLYSSA DAWN WHITTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
4929 S VAL VISTA DR, GILBERT, AZ 85298-0664
(480) 795-4000
Mailing address
1377 E CHESTNUT LN, GILBERT, AZ 85298-6844
(989) 657-9490
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007750
AZ
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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