Individual
MICHELLE WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
271
NM
225X00000X
Occupational Therapist
Primary
558346
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500682447
—
OR
05
—
Z 999
—
NM
Enumeration date
03/14/2007
Last updated
03/06/2015
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