Individual
HIEDI WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
450 N EMERSON, MESA, AZ 85201-5514
(480) 415-5512
Mailing address
450 N EMERSON, MESA, AZ 85201-5514
(480) 415-5512
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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