MEDICARE: ZAHRIA MARIE 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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1649132143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAHRIA MARIE WHITE

Provider Business Mailing Address
First Line	:	1252 CHRISTINA DR
Second Line	:
City	:	DERIDDER
State	:	LA
Zip	:	70634-2950
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 N PINE ST
Second Line	:
City	:	DERIDDER
State	:	LA
Zip	:	70634-3546
Country	:	US
Telephone Number	:	337-202-0568
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ ZAHRIA MARIE WHITE ” Practice Location

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