Individual
MICHELLE ANNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
1941 SAVAGE RD, SUITE 400 C, CHARLESTON, SC 29407-4704
(866) 571-2700
Mailing address
225 PENDLETON RD, CLEMSON, SC 29631-2230
(864) 650-4460
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2580
SC
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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