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Individual

ALEXIS L WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2715 DOGTOWN RD, GOOCHLAND, VA 23063-2424
(804) 556-4418
Mailing address
19 BERTRAM BLVD, STAFFORD, VA 22556-1891

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
VA
225X00000X
Occupational Therapist
Primary
0119009343
VA

Other

Enumeration date
08/24/2015
Last updated
12/17/2025
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