Individual
PRISCILLA FAYE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2010 SW H K DODGEN LOOP, SUITE 201, TEMPLE, TX 76504-7062
(254) 774-9991
Mailing address
2010 SW H K DODGEN LOOP, SUITE 201, TEMPLE, TX 76504-7062
(254) 774-9991
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212758
TX
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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