Individual
ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
29 HIGHLAND ST, WEST HARTFORD, CT 06119-1398
(860) 236-5623
Mailing address
29 HIGHLAND ST, WEST HARTFORD, CT 06119-1398
(860) 236-5623
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1872
CT
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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