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Individual

KAREN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
416 MASSEY AVE, MOUNTAIN VIEW, AR 72560-6132
(870) 269-2871
(870) 269-6169
Mailing address
PO BOX 510, MOUNTAIN VIEW, AR 72560-0510
(870) 269-2871
(870) 269-6169

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR657
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTR657
STATE LICENSE
AR
Enumeration date
05/02/2007
Last updated
07/08/2007
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