Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OTR3397 | AR |
NPI | 1003422668 |
---|---|
Provider Name | Dr. Whitney Harper |
First Address | Cammack Village, AR 72207-1835 |
Second Address | Little Rock, AR 72205-1646 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2020 |
Last Update Date | 20/09/2020 |