Individual
TONI MASTRODONATO WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, MOTR
Contact information
Practice address
104 WEST 134TH PLACE, CUT OFF, LA 70345
(985) 632-7919
(985) 632-3581
Mailing address
174 W 138TH ST, CUT OFF, LA 70345-4131
(985) 691-1234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA 200359
LA
225X00000X
Occupational Therapist
Primary
311473
LA
Other
Enumeration date
03/13/2013
Last updated
04/17/2019
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