Provider Demographics
NPI:1609292952
Name:SEIBERT, WHITNEY (COTA/L)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:SEIBERT
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:IPOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2550 STAG RUN BLVD
Mailing Address - Street 2:APT 1017
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1861
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1410 DR ML KING JR ST N
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3303
Practice Address - Country:US
Practice Address - Phone:727-726-1181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA13486224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant