Individual
AVERY GRACE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 N TRIPHAMMER RD STE 11, ITHACA, NY 14850-1093
(607) 463-0602
Mailing address
61 BROOKLINE RD, TOWNSHEND, VT 05353-4408
(802) 689-0429
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
030748
NY
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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