Individual
MRS. JAMIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
418 FAIRGROUND RD, NEOSHO, MO 64850
(417) 451-8600
Mailing address
418 FAIRGROUND RD, NEOSHO, MO 64850
(417) 451-8600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016028308
MO
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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