Individual
LISA NICOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13316 HUMBOLDT DR, THORNTON, CO 80241-1195
(858) 232-9937
Mailing address
13316 HUMBOLDT DR, THORNTON, CO 80241-1195
(858) 232-9937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT2406
CA
225X00000X
Occupational Therapist
Primary
OT2922
CO
Other
Enumeration date
05/07/2010
Last updated
01/12/2021
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