Individual
RUTH A WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14210 DIXIE, REDFORD, MI 48239-2874
(313) 212-6213
(313) 212-6213
Mailing address
14210 DIXIE, REDFORD, MI 48239
(313) 212-6213
(313) 212-6213
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201001572
MI
Other
Enumeration date
08/28/2016
Last updated
10/10/2016
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