Individual
KIANA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1795 VILLAGE GREEN DR, HYATTSVILLE, MD 20785-4165
(240) 535-7707
Mailing address
1795 VILLAGE GREEN DR, HYATTSVILLE, MD 20785-4165
(240) 535-7707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011159
PA
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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