Individual
NATALIE ANN WHITE
Active
Individual
NATALIE ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004870A
IN
225XE0001X
Environmental Modification Occupational Therapist
R4292
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31004870A
IN STATE OT BOARD
—
01
—
R4292
KY OT BOARD
KY
Enumeration date
11/18/2013
Last updated
11/18/2013
Update your record
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