Individual
LISA DAWN WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
68 CONSUMER CENTER DR, CHILLICOTHE, OH 45601-2667
(740) 773-6001
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006543
OH
Other
Enumeration date
08/14/2008
Last updated
02/12/2014
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