Carl Alvin White PTA

NPI 1588940373 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1588940373
Gender Male
Enumeration Date 10/25/2011
Last Updated 10/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1312 HEATHER HILL RD
BALTIMORE MD, 21239-1414, US
Phone (410) 337-2747
Fax
Business Location
1312 HEATHER HILL RD
BALTIMORE MD, 21239-1414, US
Phone (410) 337-2747
Fax
Toxanomy
Taxonomy Code 225400000X
License State Maryland
License Number A1239
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According to our database, Carl Alvin White PTA NPI is 1588940373, taxonomy code is 225400000X and license number is A1239, license state is located at Maryland. Carl Alvin White PTA physically located at 1312 Heather Hill Rd, Baltimore MD, 21239-1414. NPI Number Carl Alvin White PTA has the Individual type.

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1588940373 NPI number is provided on an as is basis without warranty of any kind. 1588940373 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Alvin White PTA are for informational purposes only.