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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILMA BEVERLY WHITE, OTA

Active Sole Proprietor

WILMA BEVERLY WHITE, OTA is a Occupational Therapy Assistant healthcare provider located in GRANTS, New Mexico. NPI 1407386014 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · GRANTS, NM

Registration Details

NPI Number
1407386014
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2017 (9.1223134106155 yrs)
Last Updated
Jul 21, 2022
License
3405 (NM)
Sole Proprietor
Yes

Practice Information

Address
200 ADAMS
GRANTS, NM, 87020
Browse NM providers · Browse ZIP 87020
Phone
5058764005
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.