Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TENNILLE LAQUISTA WHITE
Active Sole ProprietorTENNILLE LAQUISTA WHITE is a Occupational Therapy Assistant healthcare provider located in ELLENWOOD, Georgia. NPI 1942510342 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · ELLENWOOD, GA
Registration Details
- NPI Number
- 1942510342
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2010 (15.859635766177 yrs)
- Last Updated
- Oct 19, 2010
- License
-
1254 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2351 RIVER RDELLENWOOD, GA, 302941127Browse GA providers · Browse ZIP 30294
- Phone
- 6788919774
- 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.