Provider Demographics
NPI:1174965735
Name:WHYTE-OLAY, NANCY CARA (OT)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:CARA
Last Name:WHYTE-OLAY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:CARA
Other - Last Name:WHYTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT
Mailing Address - Street 1:25 BRUSCHI LN
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-6007
Mailing Address - Country:US
Mailing Address - Phone:917-974-5139
Mailing Address - Fax:
Practice Address - Street 1:25 BRUSCHI LN
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-6007
Practice Address - Country:US
Practice Address - Phone:917-974-5139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003081225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist