Individual
MRS. JULIA RAE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1525 W 5TH ST, STORM LAKE, IA 50588-3027
(712) 213-8674
Mailing address
328 ONEIDA ST, STORM LAKE, IA 50588-2548
(712) 732-1481
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01437
IA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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