Provider Demographics
NPI:1376867457
Name:WHITE, HEIDI (OTR/L, CHT)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E CENTRAL PKWY STE 2070
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-3419
Mailing Address - Country:US
Mailing Address - Phone:407-647-5008
Mailing Address - Fax:
Practice Address - Street 1:220 E CENTRAL PKWY STE 2070
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3419
Practice Address - Country:US
Practice Address - Phone:407-647-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT4735225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand