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Individual

KRYSTA WEISZ WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, LOTR

Contact information

Practice address
132 DEMANADE BLVD, LAFAYETTE, LA 70503-2508
(337) 534-8978
Mailing address
132 DEMANADE BLVD, LAFAYETTE, LA 70503-2508
(337) 534-8978

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.200371
LA

Other

Enumeration date
09/06/2018
Last updated
09/06/2018
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