Individual
JESSICA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6617 WOODS ISLAND CIR APT 108, PORT ST LUCIE, FL 34952-1468
(772) 464-3303
Mailing address
6617 WOODS ISLAND CIR APT 108, PORT ST LUCIE, FL 34952-1468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15773
FL
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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