Doctor Name: | MR. DAVID S. WHITE |
NPI Number: | 1306102900 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT779 |
Business Practice Address: | 2 Davis Point Ln Suite 1a Cape Elizabeth, ME - 041072620 |
Business Phone Number: | 2077679773 |
Business Fax Number: | 2075419212 |
Mailing Address: | 2 Davis Point Ln, Suite 1a CAPE ELIZABETH |
State: | ME |
Postal Code: | 041072620 |
Phone Number: | 2077679773 |
Fax Number: | 2075419212 |
NPI Enumeration Date: | 04/09/2012 |
NPI Last Update Date: | 04/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |