Doctor Name: | MICHAEL WHITE |
NPI Number: | 1013110774 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 20473 |
Business Practice Address: | 1525 Pointer Ridge Pl #304 Bowie, MD - 207161833 |
Business Phone Number: | 3014666283 |
Business Fax Number: | |
Mailing Address: | 11031 Belton St, UPPER MARLBORO |
State: | MD |
Postal Code: | 207741401 |
Phone Number: | 3014666283 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 02/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |