Individual
YELISSA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 LAKE ELLENOR DR, ORLANDO, FL 32809-4615
(786) 355-3732
Mailing address
1200 NW 124TH ST, NORTH MIAMI, FL 33167-2327
(786) 355-3732
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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