| Mrs Misty Leigh White- King, OCCUPATIONAL THERAPY | |
|
399 Berlin Rd, New Berlin, IL 62670-7957 | |
| (217) 652-0146 | |
| Not Available |
| Full Name | Mrs Misty Leigh White- King |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 399 Berlin Rd, New Berlin, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851460778 | NPI | - | NPPES |
| 8432032 | Other | IL | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056005570 (Illinois) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 056005570 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Misty Leigh White- King, OCCUPATIONAL THERAPY 399 Berlin Rd, New Berlin, IL 62670-4541 Ph: (217) 652-0146 | Mrs Misty Leigh White- King, OCCUPATIONAL THERAPY 399 Berlin Rd, New Berlin, IL 62670-7957 Ph: (217) 652-0146 |
Ms. Linda L Orr, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 504 W Illinois St, New Berlin, IL 62670 Phone: 217-488-2770 Fax: 217-488-6416 |