Mr. Kelly Alan White
Occupational Therapy Assistant
4334 Washington St
Downers Grove
, Illinois 60515-2837
Mr. Kelly Alan White
Occupational Therapy Assistant
4334 Washington St
Downers Grove
, Illinois 60515-2837
(630) 971-0815
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Kelly Alan White
- 4334 Washington St
- Downers Grove, IL
- Zip : 60515-2837
- Phone : (630) 971-0815
Second Address
- Mr. Kelly Alan White
- 4334 Washington St
- Downers Grove, IL
- Zip : 60515-2837
- Phone : (630) 971-0815
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057.000794 | IL |
National Provider Identifier
| NPI | 1023343092 |
|---|---|
| Provider Name | Mr. Kelly Alan White |
| First Address | Downers Grove, IL 60515-2837 |
| Second Address | Downers Grove, IL 60515-2837 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/10/2009 |
| Last Update Date | 08/10/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.