National Provider Identifier

Avery Grace White

Avery Grace White is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (607) 463-0602.

NPI 1295691137Ithaca, NYOccupational Therapist

Profile Overview

NPI
1295691137
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
January 03, 2026
Last Updated
January 03, 2026

Practice Location

  • 2415 N Triphammer RD Ste 11
  • Ithaca, NY 14850-1093

Phone: (607) 463-0602

Mailing Address

  • 61 Brookline RD
  • Townshend, VT 05353-4408

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1295691137
Entity Type
Individual
Last Name
White
First Name
Avery
Middle Name
Grace
Mailing Street Address
61 Brookline RD
Mailing City
Townshend
Mailing State
VT
Mailing ZIP Code
05353-4408
Mailing Country
US
Mailing Phone
(802) 689-0429
Practice Street Address
2415 N Triphammer RD Ste 11
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1093
Practice Country
US
Practice Phone
(607) 463-0602
Enumeration Date
January 03, 2026
Last Updated
January 03, 2026
Sex
Female
Sole Proprietor
No
Certification Date
January 03, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)