Individual
ASHLEY ELIZABETH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 BRADLEY DR, WEST MONROE, LA 71291-4948
(318) 503-6315
Mailing address
113 BRADLEY DR, WEST MONROE, LA 71291-4948
(318) 503-6315
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215332
TX
224Z00000X
Occupational Therapy Assistant
TA2379
MS
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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