Individual
KATELYN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 272-1586
Mailing address
2840 W PENNWOOD CIR, GREEN BAY, WI 54301-2851
(920) 471-6718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5835
WI
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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