Most Relevant Information
Provider Data
| NPI Number: | 1003371758 |
| Provider Name: | KIZZIE WHYTE MS, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 020103-1 |
Most Important Dates
| Enumeration Date: | 02/06/2019 |
| Last Updated: | 02/06/2019 |
Provider Practice Location
1642 63RD ST
BROOKLYN
NY
112042744
Practice Location Phone/Fax
| Phone: | 6462071413 |
| Fax: |
Provider Mailing Location
1077 NEW YORK AVE APT A1
BROOKLYN
NY
112034936
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |