Individual
ALISHA LATA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1005 CEDAR ST, PUEBLO, CO 81004-2501
(719) 320-6460
(719) 320-6460
Mailing address
1005 CEDAR ST, PUEBLO, CO 81004-2501
(719) 320-6460
(719) 320-6460
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000540
CO
Other
Enumeration date
05/30/2025
Last updated
06/03/2025
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