Individual
WILMA BEVERLY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
200 ADAMS, GRANTS, NM 87020
(505) 876-4005
Mailing address
200 ADAMS AVE, GRANTS, NM 87020-2812
(505) 876-4005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3405
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2375568
ALLIED HEALTH PROFESSIONAL LIABILITY
NM
Enumeration date
06/15/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us