Individual
JENNIFER RENE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
Mailing address
313 BRIDGE ST, COLLEGEVILLE, PA 19426-3502
(540) 336-6596
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004907
VA
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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