Individual
MADELINE VICTORIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1406 KINGS HWY, CHESTER, NY 10918-3009
(845) 827-5360
Mailing address
64 WOODBURY RD, HIGHLAND MILLS, NY 10930-2407
(914) 522-6704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010861-01
NY
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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