Individual
JENNIFER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
221 CEDAR DR, PORTLAND, TX 78374-2900
(361) 332-6383
Mailing address
2320 COUNTY ROAD 1986, ARANSAS PASS, TX 78336-5939
(361) 332-6383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210479
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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