Organization
KAREN S. WHITE
Active
Other names
dynamic therapy services
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WHITE OTR L (OWNER)
(770) 653-3077
Entity
Organization
Contact information
Practice address
3193 HOLLY MILL RUN, MARIETTA, GA 30062-5480
(770) 653-3077
(770) 509-1321
Mailing address
3193 HOLLY MILL RUN, MARIETTA, GA 30062-5480
(770) 653-3077
(770) 509-1321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003993
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506446488A
—
GA
Enumeration date
11/21/2006
Last updated
07/28/2008
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