Keyona Nichole White, CTRS
NPI #1477071256 in Charles Town, West Virginia
Provider Information
- NPI Number
- 1477071256
- Entity Type
- Individual
- Name
- Keyona Nichole White, CTRS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Recreation Therapist
- Credential
- CTRS
- Enumeration Date
- Aug 31, 2017
- Last Updated
- Aug 31, 2017
Practice Location
- Address
- 16 BUSHROD CT
- City
- Charles Town
- State
- West Virginia
- ZIP Code
- 25414-4430
- Phone
- (703) 554-9047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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