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Individual

ROBIN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
1119 SHILOH LN NW, KENNESAW, GA 30144-1894
(678) 294-4020
Mailing address
1119 SHILOH LN NW, KENNESAW, GA 30144-1894
(678) 294-4020

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000483
GA

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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