Provider Demographics
NPI:1083740088
Name:WHITE, FELICE L (BS)
Entity type:Individual
Prefix:MRS
First Name:FELICE
Middle Name:L
Last Name:WHITE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 MILL POND RD
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-5268
Mailing Address - Country:US
Mailing Address - Phone:910-640-2886
Mailing Address - Fax:
Practice Address - Street 1:515 MILL POND RD
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-5268
Practice Address - Country:US
Practice Address - Phone:910-640-2886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist