Doctor Name: | MRS. KETA O'NEAL WHITE |
NPI Number: | 1093757213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 0400003350 |
Business Practice Address: | 790 College Pkwy Colchester, VT - 054463007 |
Business Phone Number: | 8028471902 |
Business Fax Number: | 8028477963 |
Mailing Address: | 790 College Parkway, COLCHESTER |
State: | VT |
Postal Code: | 05446 |
Phone Number: | 8028470641 |
Fax Number: | 8028477963 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0400003350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |