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Ruth A White, OT

Occupational Therapist, Pediatrics in Redford, MI. Individual provider (NPI-1).

NPI number1982150108
StatusActive
Last updated in NPPESOct 10, 2016

Details

NPI
1982150108
Entity type
Individual (NPI-1)
Name
Ruth A White
Credential
OT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 28, 2016
Last updated
Oct 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics5201001572MIYes

Practice location

14210 Dixie
Redford, MI 48239-2874

Phone 313-212-6213 · Fax 313-212-6213

Mailing address

14210 Dixie
Redford, MI 48239

Phone 313-212-6213 · Fax 313-212-6213

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