Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist |
NPI | 1003168014 |
---|---|
Provider Name | Catherine Mary Whiting |
First Address | Bainbridge Island, WA 98110-1122 |
Second Address | Poulsbo, WA 98370-7521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2012 |
Last Update Date | 15/10/2012 |