Provider Demographics
NPI:1336346055
Name:WILHITE, KAREN WESLEY (OTRL)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:WESLEY
Last Name:WILHITE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:27299 RIVERVIEW CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-4322
Mailing Address - Country:US
Mailing Address - Phone:239-676-2080
Mailing Address - Fax:239-676-2089
Practice Address - Street 1:27299 RIVERVIEW CENTER BLVD
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-4322
Practice Address - Country:US
Practice Address - Phone:239-676-2080
Practice Address - Fax:239-676-2089
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1406225X00000X
FL14058225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist