Individual provider · Type 1 NPI

Nicole White

Occupational Therapist · Port Jefferson, NY

NPI number 1114642022 Active

Practice location

70 N Country Rd Ste 103
Port Jefferson, NY 11777-2161

Call (631) 938-1565 Map

Fax (321) 865-1179

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X027206 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1114642022

Nicole White's National Provider Identifier is 1114642022, issued on Oct 4, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Oct 4, 2022.