| NPI | 1598763948 |
|---|---|
| Other Name | JESSE WILLIAM WHITE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT-002099) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT-000439) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2013-06-19 |