Individual
LARA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
5899 BREMO RD STE 100, RICHMOND, VA 23226-1935
(804) 285-2645
(804) 287-2786
Mailing address
1115 BOULDERS PKWY STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 327-9242
(804) 327-9812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003354
VA
Other
Enumeration date
10/18/2006
Last updated
04/14/2022
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