Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
601 W LOOP 340, WACO, TX 76712-6840
(254) 399-8255
Mailing address
10266 CONDOR LOOP, WACO, TX 76708-7289
(254) 744-2773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118682
TX
Other
Enumeration date
10/16/2017
Last updated
04/21/2020
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