Individual
MS. AUDREY MARYANNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2820 W CHARLESTON BLVD STE 1, LAS VEGAS, NV 89102-1942
(725) 726-7847
(725) 726-7876
Mailing address
10785 W TWAIN AVE STE 250, LAS VEGAS, NV 89135-3026
(725) 726-7847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0062
NV
225XH1200X
Hand Occupational Therapist
0062
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062
LICENSE#
NV
05
—
1386754893
—
NV
Enumeration date
08/30/2006
Last updated
06/29/2022
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