Ebony White Peterman, OTR/L, CLT - Occupational Therapist in Williamsburg, VA

Ebony White Peterman, OTR/L, CLT is a Occupational Therapist - Physical Rehabilitation based in Williamsburg, Virginia. Ebony White Peterman is licensed to practice in Virginia (license number 0119004514) and her current practice location is 241 Mclaws Cir Ste 105, Williamsburg, Virginia. She can be reached at her office (for appointments etc.) via phone at (757) 503-9665.

NPI number for Ebony White Peterman is 1306555073 and her current mailing address is 10512 Tea Olive Cir, Providence Forge, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306555073.

Contact Information

Ebony White Peterman, OTR/L, CLT
241 Mclaws Cir Ste 105,
Williamsburg, VA 23185-5861
(757) 503-9665
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEbony White Peterman
GenderFemale
SpecialityOccupational Therapist - Physical Rehabilitation
Location241 Mclaws Cir Ste 105, Williamsburg, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306555073
  • Provider Enumeration Date: 11/21/2022
  • Last Update Date: 11/21/2022

Medical Identifiers

Medical identifiers for Ebony White Peterman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306555073NPI-NPPES
0119004514OtherVAVIRGINIA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0019XOccupational Therapist - Physical Rehabilitation 0119004514 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony White Peterman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ebony White Peterman, OTR/L, CLT
10512 Tea Olive Cir,
Providence Forge, VA 23140-4528

Ph: (804) 687-3140
Ebony White Peterman, OTR/L, CLT
241 Mclaws Cir Ste 105,
Williamsburg, VA 23185-5861

Ph: (757) 503-9665

Reviews and Comments


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