Jonathan Ethan White, COTA
NPI #1225374366 in South Holland, Illinois
Provider Information
- NPI Number
- 1225374366
- Entity Type
- Individual
- Name
- Jonathan Ethan White, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Dec 18, 2012
- Last Updated
- Dec 18, 2012
Practice Location
- Address
- 751 E 163RD PL
- City
- South Holland
- State
- Illinois
- ZIP Code
- 60473-2306
- Phone
- (708) 439-0654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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