Individual
KELLI SARGENT-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
58 CARROLL ST, LEBANON, VA 24266
(276) 883-8000
Mailing address
20 WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2003
(276) 322-5439
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000599
VA
Other
Enumeration date
03/29/2014
Last updated
01/11/2023
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