Nicole White

NPI #1114642022 in Port Jefferson, New York

Provider Information

NPI Number
1114642022
Entity Type
Individual
Name
Nicole White
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Enumeration Date
Oct 4, 2022
Last Updated
Oct 4, 2022

Practice Location

Address
70 N COUNTRY RD STE 103
ZIP Code
11777-2161
Phone
(631) 938-1565

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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