Individual
ASIA M WHITED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-7760
Mailing address
722 WRISTON PL, CHARLOTTE, NC 28209-1232
(910) 489-1332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119004601
VA
225X00000X
Occupational Therapist
Primary
5394
NC
Other
Enumeration date
10/03/2007
Last updated
11/12/2009
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