Individual
MIKAYLA BEVERLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1453 RIVERSTONE PKWY STE 170, CANTON, GA 30114-5603
(770) 704-0774
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008627
GA
Other
Enumeration date
10/31/2022
Last updated
10/24/2025
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