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NPI Code Detail

MEDICARE: MICHELE WHITE

MEDICARE:   MICHELE  WHITE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2306604268VA

General Provider Information

NPI Number : 1376298620
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE WHITE
Provider Business Mailing Address
First Line : 138 WATERSIDE LN
Second Line :
City : CROSS JUNCTION
State : VA
Zip : 22625-2468
Country : US
Telephone Number : 707-628-8224
Fax Number :
Provider Business Practice Location Address
First Line : 138 WATERSIDE LN
Second Line :
City : CROSS JUNCTION
State : VA
Zip : 22625-2468
Country : US
Telephone Number : 707-628-8224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2022
Last Update Date : 02/15/2022

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Directions to “ MICHELE WHITE ” Practice Location

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