Individual
MRS. CATHY A. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
311 COTTRELL RD, DIXMONT, ME 04932-3242
(207) 234-4693
Mailing address
311 COTTRELL RD, DIXMONT, ME 04932-3242
(207) 234-4693
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
#OA1348
ME
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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