Provider Demographics
NPI:1821458589
Name:WHETSTONE, MAURA FRANCES (OTR)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:FRANCES
Last Name:WHETSTONE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6162 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-5218
Mailing Address - Country:US
Mailing Address - Phone:814-977-4133
Mailing Address - Fax:
Practice Address - Street 1:315 E LONDON GROVE RD
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-9239
Practice Address - Country:US
Practice Address - Phone:610-869-2456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014276225X00000X
AZOTH-007737225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist