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Individual

JESSICA WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 OXFORD DR, APT 6, LATHAM, NY 12110-2023
(518) 512-1978
Mailing address
1 RAPP RD, ALBANY, NY 12203-4491
(518) 867-3061

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0730900337
VT
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
06/20/2016
Last updated
03/19/2026
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