Provider Demographics
NPI:1700161585
Name:WHITFORD, MAUREEN (PT, PHD)
Entity Type:Individual
Prefix:MISS
First Name:MAUREEN
Middle Name:
Last Name:WHITFORD
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14415 HOLLYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-1342
Mailing Address - Country:US
Mailing Address - Phone:562-972-4786
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HOSPITAL MAIN CAMPUS
Practice Address - Street 2:11100 EUCLID AVENUE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-844-3722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT871258225100000X
OHPT006514225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist