Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 2012001573 | MO |
Y | 225X00000X | Occupational Therapist | OT17283 | FL |
N | 225XG0600X | Occupational Therapist - Gerontology | 2012001573 | MO |
NPI | 1396007134 |
---|---|
Provider Name | Whitney Little |
First Address | Fort Pierce, FL 34946-8916 |
Second Address | Fort Pierce, FL 34946-8916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2012 |
Last Update Date | 01/12/2016 |