NPI | 1700501020 |
---|---|
Former Name | TONI WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5481) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0019846) |
225100000X Physical Therapist (Licence: NM PT22061) | |
225100000X Physical Therapist (Licence: PA PT032118) | |
225100000X Physical Therapist (Licence: CA 305710) | |
225100000X Physical Therapist (Licence: NY 052163) | |
Enumeration Date | 2022-10-10 |
Last Update Date | 2024-06-27 |