Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 1406 | AL |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 14058 | FL |
NPI | 1336346055 |
---|---|
Provider Name | Mrs. Karen Wesley Wilhite |
First Address | Bonita Springs, FL 34134-4322 |
Second Address | Bonita Springs, FL 34134-4322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 26/02/2019 |