Provider Demographics
NPI:1689169856
Name:WHITE, JULIE ANNETTE (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANNETTE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4120 DARTMOOR CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-7743
Mailing Address - Country:US
Mailing Address - Phone:540-287-5388
Mailing Address - Fax:
Practice Address - Street 1:1931 PLANK RD STE 206
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5183
Practice Address - Country:US
Practice Address - Phone:540-370-1588
Practice Address - Fax:540-370-1586
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119002828225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist