Individual
ANDREA MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OYR/L
Contact information
Practice address
804 11TH ST W, WILLISTON, ND 58801-4830
(602) 789-1075
Mailing address
804 11TH ST W, WILLISTON, ND 58801-4830
(602) 789-1075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1331
ND
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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