Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 3933 | AZ |
NPI | 1013100585 |
---|---|
Provider Name | Sarah J. Whitney |
First Address | Chandler, AZ 85225-7412 |
Second Address | Chandler, AZ 85225-7412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2007 |
Last Update Date | 19/08/2007 |