Individual
MR. ANDREW JASON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1229 COUNTRY FARM RD, BEDFORD, VA 24523
(540) 586-7658
Mailing address
650 COLLINGTON DR, LYNCHBURG, VA 24502-5464
(434) 444-4386
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003681
VA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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