Individual
ANGELLA GORDON-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8410 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2012
(856) 256-2582
Mailing address
8410 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2012
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OP007605
PA
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/23/2015
Last updated
11/05/2020
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