Individual
BIANCA M WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
995 TUDOR LN, MOBILE, AL 36695-9689
(251) 327-0228
Mailing address
995 TUDOR LN, MOBILE, AL 36695-9689
(125) 132-7022
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5404
AL
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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