| NPI | 1659938066 |
|---|---|
| Former Name | MARISA WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NC P18826) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9989) |
| 225100000X Physical Therapist (Licence: NC P18826) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-07-16 |