Individual
HOLLY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 GUEST HOUSE DR, WEST MONROE, LA 71292-5003
(318) 387-3900
Mailing address
4109 HIGHWAY 98 W # 4, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.Z20569
LA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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