Provider Demographics
NPI:1447550546
Name:WILHITE, SARA C (MSE/DT)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:C
Last Name:WILHITE
Suffix:
Gender:F
Credentials:MSE/DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1635 HIGDON FERRY RD
Mailing Address - Street 2:STE C PMB 124
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6913
Mailing Address - Country:US
Mailing Address - Phone:501-627-4388
Mailing Address - Fax:501-525-7531
Practice Address - Street 1:4332 CENTRAL AVE
Practice Address - Street 2:STE N
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7437
Practice Address - Country:US
Practice Address - Phone:501-525-7529
Practice Address - Fax:501-525-7531
Is Sole Proprietor?:No
Enumeration Date:2010-10-24
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARI10IN23A222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist