Individual
TINA MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1345 NORTH MADISON AVE, ANDERSON, IN 46011-1215
(765) 644-2888
Mailing address
12712 JUSTICE CROSSING, FISHERS, IN 46037
(317) 776-1679
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001003A
IN
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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