NPI | 1548851348 |
---|---|
Former Name | COURTNEY WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT008041) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA15209) |
224Z00000X Occupational Therapy Assistant (Licence: GA OTA001480) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT008041) | |
Enumeration Date | 2021-02-03 |
Last Update Date | 2021-04-13 |