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Individual
NICOLE WHITE
Active
Individual
NICOLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027206
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487104261
PROFESSIONAL OCCUPATIONAL PHYSICAL THERAPY, PLLC
NY
Enumeration date
10/04/2022
Last updated
10/04/2022
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