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Individual

JESSICA WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
4604 LOWE RD, LOUISVILLE, KY 40220-1514
(502) 759-1332
Mailing address
PO BOX 991543, LOUISVILLE, KY 40269-1543
(502) 759-1332

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A3316
KY

Other

Enumeration date
03/24/2015
Last updated
03/24/2015
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