MEDICARE: MRS. HEIDI WHITE OTR/L, CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	OT4735	FL

General Provider Information

NPI Number	:	1376867457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEIDI WHITE OTR/L, CHT

Provider Business Mailing Address
First Line	:	220 E CENTRAL PKWY STE 2070
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-3419
Country	:	US
Telephone Number	:	407-647-5008
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 E CENTRAL PKWY STE 2070
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-3419
Country	:	US
Telephone Number	:	407-647-5008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2010
Last Update Date	:	06/25/2015

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