Individual
LAURELLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1895 HIGHWAY 395 N, SALEM, AR 72576-8983
(817) 994-6227
Mailing address
1895 HIGHWAY 395 N, SALEM, AR 72576-8983
(817) 994-6227
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A553
AR
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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