Lynne Anne White, OTR
Individual provider Active NPI Neurorehabilitation Occupational Therapist · Jefferson, MO
NPI 1255487948 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255487948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurorehabilitation Occupational Therapist 225XN1300X
- License
- 001013 (MO)
- Practice address
- 1125 Madison
Jefferson, MO 65102-1128 - Phone
- (573) 632-5628
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001013 | MO | MD | Neurorehabilitation Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 001013 | MO | Yes |
Addresses
Primary practice location
1125 Madison
Jefferson, MO 65102-1128
Mailing address
3525 Gettysburg PL
Jefferson City, MO 65109-6831
Phone (573) 893-5281
Other providers in Jefferson, MO
All providers in Jefferson, MO · Neurorehabilitation Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.