Individual
MRS. NIKEL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
135 CEDAR CIR, FAYETTEVILLE, GA 30214-1213
(347) 436-3667
Mailing address
135 CEDAR CIR, FAYETTEVILLE, GA 30214-1213
(347) 436-3667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
017473
NY
225X00000X
Occupational Therapist
Primary
OT005520
GA
Other
Enumeration date
02/13/2013
Last updated
07/02/2024
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