Individual
ETHAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
45816 SCHOENHERR RD STE B, SHELBY TOWNSHIP, MI 48315-6028
(586) 900-2100
(586) 900-2101
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201014547
MI
Other
Enumeration date
02/16/2026
Last updated
02/17/2026
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