Individual
CHARLI RENEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1150 PINE RUN DR, LUMBERTON, NC 28358-2118
(910) 671-5703
Mailing address
4919 PINEDALE BLVD, LUMBERTON, NC 28358-2171
(910) 633-1575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16572
NC
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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