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Mitchell White, OTR

Occupational Therapist in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1154948552
StatusActive
Last updated in NPPESJul 1, 2020

Details

NPI
1154948552
Entity type
Individual (NPI-1)
Name
Mitchell White
Credential
OTR
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 1, 2020
Certification date
Jul 1, 2020
Last updated
Jul 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5459OKYes

Practice location

9070 Harmony Dr Ste A
Oklahoma City, OK 73130-6257

Phone 405-455-5582

Mailing address

8728 Sw 36th Ter
Oklahoma City, OK 73179-3846

Phone 580-551-9139

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