MRS. Jacqueline White-Ivey, COTA

NPI #1629499983 in Summit, Mississippi

Provider Information

NPI Number
1629499983
Entity Type
Individual
Name
MRS. Jacqueline White-Ivey, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jan 3, 2014
Last Updated
Jan 3, 2014

Practice Location

Address
4109 HIGHWAY 98 W
City
Summit
ZIP Code
39666-9132
Phone
(601) 276-3900

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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