Individual
LAINE WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 TRAMWAY CIR, ANGIER, NC 27501-9170
(906) 869-4155
Mailing address
170 TRAMWAY CIR, ANGIER, NC 27501-9170
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
311219
NC
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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