Individual
MRS. STEPHANIE ROSE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2422 PEMBERTON RD, RICHMOND, VA 23233-2028
(804) 716-1527
Mailing address
2408 COLWYN RD, HENRICO, VA 23229
(804) 687-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131000499
VA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119006215
VA
Other
Enumeration date
12/08/2011
Last updated
03/12/2014
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