Individual
SUZANNE NATASHA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3865 CATALINA ST, TITUSVILLE, FL 32796-2210
(321) 917-4695
Mailing address
3865 CATALINA ST, TITUSVILLE, FL 32796-2210
(321) 917-4695
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11113
FL
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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