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Individual

COURTNIE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DOT

Contact information

Practice address
2122 AIRLINE DR STE 200, BOSSIER CITY, LA 71111-3270
(318) 828-1450
(318) 828-2697
Mailing address
2122 AIRLINE DR STE 200, BOSSIER CITY, LA 71111-3270

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
328517
LA

Other

Enumeration date
08/23/2023
Last updated
08/23/2023
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