| NPI | 1619904539 |
|---|---|
| Former Name | TAMARA G WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016333) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT010778) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-09-17 |