Provider Demographics
NPI:1083456826
Name:MORRIS, WHITNEY LINDSAY (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:LINDSAY
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5515 TUCKER CIR
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-1397
Mailing Address - Country:US
Mailing Address - Phone:850-293-7393
Mailing Address - Fax:
Practice Address - Street 1:4685 CHUMUCKLA HWY
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-1007
Practice Address - Country:US
Practice Address - Phone:850-293-7393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10536225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist