Provider Demographics
NPI:1104143742
Name:REIDLINGER, WHITNEY L (OTR/L)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:L
Last Name:REIDLINGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166A OLD MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:MONTAUK
Mailing Address - State:NY
Mailing Address - Zip Code:11954-5049
Mailing Address - Country:US
Mailing Address - Phone:631-668-6289
Mailing Address - Fax:
Practice Address - Street 1:166A OLD MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:MONTAUK
Practice Address - State:NY
Practice Address - Zip Code:11954-5049
Practice Address - Country:US
Practice Address - Phone:631-668-6289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010299-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist