ELISE A WHITE

BLOOMINGTON, IN
NPI1033251327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05010313A)
Additional Taxonomies225100000X Physical Therapist
(Licence: CA  34746)
225100000X Physical Therapist
(Licence: IL  070013153)
Enumeration Date2007-02-13
Last Update Date2016-10-25
Business Address
-- ELISE A WHITE DPT
3243 W 3RD ST
BLOOMINGTON, IN 47404-4835
Phone number: 812-668-1880
Mailing Address
-- ELISE A WHITE DPT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6250