Individual
MRS. LYNNE ANNE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1125 MADISON, JEFFERSON, MO 65102-1128
(573) 632-5628
Mailing address
3525 GETTYSBURG PL, JEFFERSON CITY, MO 65109-6831
(573) 893-5281
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
001013
MO
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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