Individual
BARBARA R. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTL
Contact information
Practice address
110 MAIN ST, WILTON, ME 04294-3002
(207) 578-0503
Mailing address
110 MAIN ST, PO BOX 552, WILTON, ME 04294-3002
(207) 578-0503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT1367
ME
Other
Enumeration date
09/19/2012
Last updated
10/14/2013
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