Individual
NATALIE IRENE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
9165 OTIS AVE STE 114, INDIANAPOLIS, IN 46216-2311
(317) 991-1948
(812) 477-5002
Mailing address
5401 VOGEL RD STE 140, EVANSVILLE, IN 47715-7831
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006531A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31006531A
PROFESSIONAL LICENSE
IN
Enumeration date
02/27/2018
Last updated
02/27/2018
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