Individual
BRIANNA WHITELOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12831 SW 30TH ST, MIRAMAR, FL 33027-5300
(954) 591-2194
Mailing address
12831 SW 30TH ST, MIRAMAR, FL 33027-5300
(954) 591-2194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20656
FL
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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