Individual
SUE ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
106 RICHMOND ROAD, HANCOCK, MA 01237
(413) 652-3344
Mailing address
PO BOX 138, RICHMOND, MA 01254-0138
(413) 652-3344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000792-1
NY
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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