Individual
MRS. COURTNEY REBECCA WHITENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 E AMBER LN, URBANA, IL 61802-6997
(217) 344-4607
Mailing address
1704 E AMBER LN, URBANA, IL 61802-6997
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002377
IL
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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