Individual
MADISON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
100 GALLATIN ST NE, WASHINGTON, DC 20011-7533
(202) 545-0515
Mailing address
808 W TIMBER BRANCH PKWY, ALEXANDRIA, VA 22302-3620
(703) 819-1544
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT210002217
DC
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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