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Taylor Nicole White, OTR

Occupational Therapist in Saint Augustine, FL. Individual provider (NPI-1).

NPI number1295329571
StatusActive
Last updated in NPPESApr 30, 2024

Details

NPI
1295329571
Entity type
Individual (NPI-1)
Name
Taylor Nicole White
Credential
OTR
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 26, 2021
Certification date
Apr 30, 2024
Last updated
Apr 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist21571FLYes
225X00000X Occupational Therapist21751FL

Practice location

285 Old Village Center Cir Unit 5203
Saint Augustine, FL 32084-5817

Phone 843-503-4461

Mailing address

285 Old Village Center Cir Unit 5203
Saint Augustine, FL 32084-5817

Phone 843-503-4461

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