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NPI Code Detail

MEDICARE: DANIELLE WHITE

MEDICARE: DANIELLE WHITE
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
1225X00000XOccupational Therapist1724WV

General Provider Information

NPI Number : 1063829828
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE WHITE
Provider Business Mailing Address
First Line : 144 VALLEY DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-1002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MAPLEWOOD DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9115
Country : US
Telephone Number : 304-933-3338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 10/16/2024

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Directions to “ DANIELLE WHITE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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