Individual
KASSANDRA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6336 CEDAR LN, COLUMBIA, MD 21044-3897
(410) 531-6000
Mailing address
9715 COVERED WAGON DR APT H, LAUREL, MD 20723-1516
(301) 814-2151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10042
MD
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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