Individual
KAREN S WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
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
002408
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000907563A
—
GA
Enumeration date
11/20/2006
Last updated
07/09/2007
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