Provider Demographics
NPI:1396007134
Name:LITTLE, WHITNEY (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:LITTLE
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTD, OTR/L
Mailing Address - Street 1:203 ACORN WAY
Mailing Address - Street 2:LOT 31
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34946-8916
Mailing Address - Country:US
Mailing Address - Phone:570-234-4167
Mailing Address - Fax:
Practice Address - Street 1:203 ACORN WAY
Practice Address - Street 2:LOT 31
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34946-8916
Practice Address - Country:US
Practice Address - Phone:570-234-4167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012001573225X00000X, 225XG0600X
FLOT17283225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology