Individual
DUSTIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
879 E MICHIGAN AVE, MARSHALL, MI 49068-2045
(269) 781-4251
Mailing address
1734 FAYETTE CT, PORTAGE, MI 49002-7506
(269) 744-2840
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
339276
MI
Other
Enumeration date
04/20/2015
Last updated
11/27/2023
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