Individual
NIA WHYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1225 STUYVESANT AVE, UNION, NJ 07083-3837
(908) 405-3702
Mailing address
117 APPLE TREE LN, UNION, NJ 07083-5551
(908) 405-3702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01130000
NJ
225X00000X
Occupational Therapist
OT210002106
DC
Other
Enumeration date
10/26/2022
Last updated
10/26/2023
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