Individual
MOLLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1350 E LOOKOUT DR, RICHARDSON, TX 75082-4106
(972) 220-2000
(214) 905-0650
Mailing address
1350 E LOOKOUT DR, RICHARDSON, TX 75082-4106
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210554
TX
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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